DR. TIMOTHY DENNIS JACOBSON (MD) – Internal Medicine Physician, NPI 1285647669
Internal Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
341 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OR
Provider Addresses for DR. TIMOTHY DENNIS JACOBSON (MD)
3032, Northeast 17th Avenue, Irvington, Portland, Multnomah County, Oregon, 97212, United States
OREGON HEALTH AND SCIENCE UNIVERSITY
PORTLAND, OR 972123352
Phone: (503) 284-2801
Fax: (503) 494-8550
Type: Mailing
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 494-8311
Fax: (503) 494-8550
Type: Location
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 97239
Phone: (503) 494-8311
Fax: (503) 494-8550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $754.
Total Amount is formed as General ($754) + Research ($0) + Ownership ($0) = $754.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($670).
Total Amount
$754
General + Research + Ownership
Payments
7
Total payment records
General Amount
$754
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $670 |
| Abbott Laboratories | $70 |
| ABIOMED | $13 |
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: 2011-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20071015000449 | I | Cardiovascular Disease (Cardiology) | OR | TBD |
| I20111003000133 | I | Cardiovascular Disease (Cardiology) | WA | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 98 | 94 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 34 | 33 | $0 |
Insurance plans in this area (ZIP 97212)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OR | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 27 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| D E R M A T O L O G Y | AZ | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | WA |
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