DARICK L JACOBS (M.D.) – Vascular & Interventional Radiology Physician, NPI 1386624047
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
Provider Addresses for DARICK L JACOBS (M.D.)
100 E CAMPUS VIEW BVLD
STE 160
COLUMBUS, OH 43235
Phone: (614) 396-4750
Fax: (614) 396-4742
Type: Mailing
3525 Olentangy River Rd
STE 5360
Columbus, OH 432143937
Phone: (614) 340-7747
Fax: (614) 340-7742
Type: Location
Olentangy River Rd, Knolls-Thomas, Columbus, Sharon, Franklin, Ohio, 43214, United States
STE 5360
COLUMBUS, OH 432143937
Phone: (614) 340-7747
Fax: (614) 340-7742
Type: Location
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Mailing
395 W 12TH AVE RM 460
COLUMBUS, OH 432101267
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-09-25 • Largest payer in this snapshot: ConvaTec Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $13 |
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: 2005-06-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050630001177 | I | Interventional Radiology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43235)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OH | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 15 | 11 |
| DIAGNOSTIC RADIOLOGY | OH | 71010 | X-ray of chest, 1 view, front | 16 | 14 |
| DIAGNOSTIC RADIOLOGY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 73 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | OH | |
| Nurse Practitioner | OH | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IL | |
| Interventional Radiology | OH |
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