DR. JACOB THOMAS DEAN (M.D.) – Family Medicine Physician, NPI 1932172467
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for DR. JACOB THOMAS DEAN (M.D.)
PO BOX 339
ENON, OH 453230339
Phone: (937) 864-7363
Fax: (937) 864-5895
Type: Mailing
7774 DAYTON SPRINGFIELD RD
FAIRBORN, OH 453241957
Phone: (937) 864-7363
Fax: (937) 864-5895
Type: Mailing
West Dayton Yellow Springs Road, Wrightview, Fairborn, Greene County, Ohio, 45324, United States
SUITE B
FAIRBORN, OH 453241442
Phone: (937) 864-7363
Fax: (937) 864-5895
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 178 Open Payments records for all available years, with a total value of $3,063.
Total Amount is formed as General ($3,063) + Research ($0) + Ownership ($0) = $3,063.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($499).
Total Amount
$3,063
General + Research + Ownership
Payments
178
Total payment records
General Amount
$3,063
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $499 |
| AstraZeneca Pharmaceuticals LP | $471 |
| Janssen Pharmaceuticals, Inc | $446 |
| GlaxoSmithKline, LLC. | $293 |
| Amgen Inc. | $139 |
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: 2004-02-17
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 |
|---|---|---|---|---|
| I20040217000535 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 601 | 252 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 215 | 215 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 215 | 215 | $0 |
| 81003 | Automated urinalysis test | 193 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 107 | $0 |
Insurance plans in this area (ZIP 45323)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 85610 | Blood test, clotting time | 131 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
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