JACOB ALEXANDER (DO, MPH) – Public Health & General Preventive Medicine Physician, NPI 1780003442
Public Health & General Preventive Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17 PREVENTIVE MEDICINE in NM
Provider Addresses for JACOB ALEXANDER (DO, MPH)
4820 E Main St
Farmington, NM 874028660
Phone: (505) 609-6495
Type: Location
PO BOX 187
DULCE, NM 875280187
Phone: (575) 759-3291
Fax: (575) 759-7294
Type: Mailing
500 N. MUNDO
DULCE, NM 87528
Phone: (575) 759-3291
Fax: (575) 759-7294
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170405002192 | I | Preventive Medicine | CO | TBD |
| I20180801000375 | I | Preventive Medicine | TX | TBD |
| I20250927000511 | I | Preventive Medicine | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 61 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 18 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 23 | 18 | $0 |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 16 | 14 | $0 |
Insurance plans in this area (ZIP 87402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NM | |
| - | NM | |
| - | NM | |
| Physician Assistant | NM | |
| - | OK | |
| - | OR | |
| Family Practice | MO | |
| Internal Medicine | NM |
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