DR. JACOB EZRA CONKLIN (M.D.) – Internal Medicine Physician, NPI 1588842314
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,201 INTERNAL MEDICINE in OH
Provider Addresses for DR. JACOB EZRA CONKLIN (M.D.)
3130 N County Road 25A
Troy, OH 453731337
Phone: (937) 440-4466
Type: Location
200 Abraham Flexner Way
Louisville, KY 402022877
Phone: (502) 587-4267
Type: Location
2400 Miami Valley Dr
Centerville, OH 454594774
Phone: (937) 208-8394
Type: Location
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 356-4019
Fax: (319) 353-8073
Type: Location
1 Wyoming St Ste Se3100B
Dayton, OH 454092722
Phone: (937) 208-8394
Type: Location
1 Medical Center Dr
Middletown, OH 450052584
Phone: (513) 974-2111
Type: Location
9000 N Main St
Englewood, OH 454151180
Phone: (937) 208-8394
Type: Location
Wyandot Memorial Hospital, 885, North Sandusky Avenue, Upper Sandusky, Crane Township, Wyandot County, Ohio, 43351, United States
UPPER SANDUSKY, OH 433511031
Phone: (419) 294-4991
Fax: (419) 209-0278
Type: Mailing
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: 2025-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20080715000941 | I | Internal Medicine | OH | TBD |
| I20240515002729 | I | Internal Medicine | KY | TBD |
| I20240517000421 | I | Internal Medicine | IN | TBD |
| I20240524003227 | I | Internal Medicine | WI | TBD |
| I20240528002586 | I | Internal Medicine | TN | TBD |
| I20241230002119 | I | Internal Medicine | MI | TBD |
| I20250107000939 | I | Internal Medicine | WY | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 221 | 114 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 139 | 126 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 133 | 119 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 122 | 63 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 80 | 25 | $0 |
Insurance plans in this area (ZIP 45373)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Internal Medicine | GA | |
| Internal Medicine | MI | |
| H O S P I T A L I S T | OH | |
| Physician Assistant | NC | |
| Internal Medicine | MI | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Emergency Medicine, Hospitalist, Family Practice | MI |
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