MRS. MACARA K JACOBS (PA-C) – Medical Physician Assistant, NPI 1053466763
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for MRS. MACARA K JACOBS (PA-C)
North May Avenue, Logan County, Oklahoma, United States
OKLAHOMA CITY, OK 731202701
Phone: (405) 755-8028
Type: Mailing
6812 State Route 162 Ste 200
Maryville, IL 620628562
Phone: (618) 288-0900
Type: Location
12855 N 40 Dr Ste 375
Saint Louis, MO 631418657
Phone: (314) 567-6071
Fax: (314) 453-9965
Type: Location
12855 N 40 DR STE 350
SAINT LOUIS, MO 631418669
Phone: (314) 567-6071
Fax: (314) 453-9965
Type: Location
11100 HEFNER POINTE DR STE B
OKLAHOMA CITY, OK 731205049
Phone: (405) 400-8188
Type: Mailing
PO BOX 14369
SAINT LOUIS, MO 631784369
Phone: (314) 567-6071
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $618.
Total Amount is formed as General ($618) + Research ($0) + Ownership ($0) = $618.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Astellas Pharma US Inc ($172).
Total Amount
$618
General + Research + Ownership
Payments
30
Total payment records
General Amount
$618
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $172 |
| ABBVIE INC. | $117 |
| Axonics, Inc. | $96 |
| Sumitomo Pharma America, Inc. | $81 |
| COLOPLAST CORP | $42 |
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: 2024-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070328000267 | I | Physician Assistant | OK | TBD |
| I20240911004178 | I | Physician Assistant | MO | TBD |
| I20240916001461 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 654 | 435 | $0 |
| 81003 | Automated urinalysis test | 469 | 360 | $0 |
| 51701 | Insertion of temporary bladder tube | 427 | 335 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 318 | 239 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 126 | 126 | $0 |
Insurance plans in this area (ZIP 73120)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| N E U R O S U R G E R Y | MO | |
| Physician Assistant | IL | |
| N E U R O S U R G E R Y | MO | |
| - | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery | MO | |
| Physician Assistant | MO |
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