DR. LAWRENCE J JACOBS (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1104810639

DR. LAWRENCE J JACOBS (M.D.) is a healthcare provider. based in Cleveland, Ohio. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 35060098J (OH). The NPI Number for DR. LAWRENCE J JACOBS (M.D.) is 1104810639

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAWRENCE J JACOBS (M.D.)
NPI
1104810639
Phone
(440) 899-5555
Address
9500 EUCLID AVE
Enumeration Date
12 September 2005
Last Update Date
25 November 2011

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
2164442200
Graduation Year
1974 (52 years ago)
PAC ID
5092616722
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20040122000730
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

218 CARDIAC ELECTROPHYSIOLOGY in OH

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Provider Addresses for DR. LAWRENCE J JACOBS (M.D.)

  • 9500, Euclid Avenue, Fairfax, Cleveland, Cuyahoga County, Ohio, 44195, United States

    WL20

    CLEVELAND, OH 441950001

    Phone: (440) 899-5555

    Mailing address matches the actual address.

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: 2004-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040122000730ICardiac ElectrophysiologyOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only522409$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days17676$0
99213Established patient office or other outpatient visit, 20-29 minutes162149$0
93248Heart rhythm review and interpretation of continous external ekg over 8-15 days126126$0
93280Programming of dual lead pacemaker system10491$0
View full utilization report →

Insurance plans in this area (ZIP 44195)

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Provider's Procedures

DR. LAWRENCE J JACOBS (M.D.) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report163153
CARDIAC ELECTROPHYSIOLOGYOH93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report240194
CARDIAC ELECTROPHYSIOLOGYOH93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report4937

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is DR. LAWRENCE J JACOBS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. LAWRENCE J JACOBS (M.D.) with NPI 1104810639.
Is DR. LAWRENCE J JACOBS (M.D.) still practicing?
DR. LAWRENCE J JACOBS (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. LAWRENCE J JACOBS (M.D.)?
For research purposes, treat DR. LAWRENCE J JACOBS (M.D.) as Clinical Cardiac Electrophysiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LAWRENCE J JACOBS (M.D.)?
DR. LAWRENCE J JACOBS (M.D.)'s geographic hint is Cleveland, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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