DR. JACOB CARMEN III YANNETTA (D.O.) – Vascular Surgery Physician, NPI 1992873046
Vascular Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
303 VASCULAR SURGERY in OH
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Provider Addresses for DR. JACOB CARMEN III YANNETTA (D.O.)
2141, North Fairfield Road, Beavercreek, Greene County, Ohio, 45431, United States
STE. B
BEAVERCREEK, OH 454312578
Phone: (937) 458-0025
Fax: (937) 458-0212
Type: Mailing
30 W MCCREIGHT AVE STE 106
SPRINGFIELD, OH 455041853
Phone: (937) 523-9885
Fax: (937) 523-9886
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: AngioDynamics, Inc. ($136).
Total Amount
$260
General + Research + Ownership
Payments
5
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $136 |
| LeMaitre Vascular, Inc. | $64 |
| W. L. Gore & Associates, Inc. | $28 |
| Medtronic, Inc. | $17 |
| Bard Peripheral Vascular, Inc. | $15 |
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: 2007-10-01
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 |
|---|---|---|---|---|
| I20071001000773 | I | Vascular Surgery | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 255 | 93 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 98 | 85 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 91 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 66 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 66 | 64 | $0 |
Insurance plans in this area (ZIP 45431)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | OH | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Hematology/Oncology | IL | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| Radiation Oncology | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | OH | |
| Physician Assistant | OH | |
| Hospitalist, Emergency Medicine | OH |
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