DR. BRENT II JACOBUS (MD) – Sleep Medicine (Psychiatry & Neurology) Physician, NPI 1447757406
Sleep Medicine (Psychiatry & Neurology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,742 NEUROLOGY in TX
Provider Addresses for DR. BRENT II JACOBUS (MD)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 454335529
Phone:
Type: Mailing
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 782344504
Phone: (210) 916-2203
Fax: (210) 916-3833
Type: Mailing
12750 SAINT FRANCIS DR
Crown Point, IN 463070264
Phone: (219) 662-3745
Fax: (219) 662-6171
Type: Location
7891 Broadway Ste G
Merrillville, IN 464105556
Phone: (219) 756-8000
Type: Location
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 782365638
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $257.
Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($154).
Total Amount
$257
General + Research + Ownership
Payments
6
Total payment records
General Amount
$257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $154 |
| GlaxoSmithKline, LLC. | $38 |
| Lilly USA, LLC | $25 |
| Takeda Pharmaceuticals U.S.A., Inc. | $23 |
| ABBVIE INC. | $17 |
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: 2024-04-19
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240419001483 | I | Neurology | IN | 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 45433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| N E U R O L O G Y | AR | |
| General Surgery | IL | |
| - | IN | |
| Internal Medicine, Pulmonary Disease | IN |
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