JACOB DUANE BOYD (PA-C) – Physician Assistant, NPI 1003656448

JACOB DUANE BOYD (PA-C) is a healthcare provider. based in Chickasha, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5327 (OK). The NPI Number for JACOB DUANE BOYD (PA-C) is 1003656448

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JACOB DUANE BOYD (PA-C)
NPI
1003656448
Phone
(405) 224-2100
Address
2100 W IOWA AVE
Enumeration Date
31 May 2024
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059005523
Graduation Year
2024 (2 years ago)
PAC ID
4688100647
Group Practice PAC ID
0840555777
Professional Enrollment ID
I20241213001668
Address ID
OK731093835OK4825XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for JACOB DUANE BOYD (PA-C)

  • 2100 W IOWA AVE

    CHICKASHA, OK 730182736

    Phone: (405) 224-2100

    Fax: (405) 779-2310

    Type: Mailing

  • 2116 W IOWA AVE

    CHICKASHA, OK 730182736

    Phone: (405) 224-2100

    Fax: (405) 779-2801

    Type: Location

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: 2024-12-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241213001668IPhysician AssistantOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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 73018)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840555777View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JACOB DUANE BOYD (PA-C)?
NPI 1003656448 is assigned to JACOB DUANE BOYD (PA-C) under the national enumeration system.
Does this profile mean JACOB DUANE BOYD (PA-C) is currently active?
Yes — JACOB DUANE BOYD (PA-C) appears active in the national provider directory.
Does JACOB DUANE BOYD (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for JACOB DUANE BOYD (PA-C). Clinical services aligned with this taxonomy classification.
Does JACOB DUANE BOYD (PA-C) practice in Oklahoma?
You will see Chickasha, Oklahoma on file for JACOB DUANE BOYD (PA-C) alongside any extra practice locations.
Is JACOB DUANE BOYD (PA-C) a real provider?
This page reflects official NPPES data for NPI 1003656448. Always confirm identity and privileges with the practice and licensing boards.

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