DR. RICHARD DAVID JACOBSON (MD, PHD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1013968858
Neurology with Special Qualifications in Child Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. RICHARD DAVID JACOBSON (MD, PHD)
3 MARYLAND FARMS STE 200
BRENTWOOD, TN 370275005
Phone: (615) 345-5400
Fax: (888) 468-6603
Type: Mailing
4228, Brookfield Drive, Beverly Woods, Charlotte, Mecklenburg County, North Carolina, 28210, United States
CHARLOTTE, NC 28210
Phone: (615) 345-5400
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.
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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: 2018-03-28
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 |
|---|---|---|---|---|
| I20180328001179 | I | Neurology | MN | 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 |
|---|---|---|---|---|
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 368 | 158 | $0 |
| 95870 | Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study | 158 | 74 | $0 |
| 95938 | Placement of skin electrodes and measurement of stimulated sites on arms and legs | 155 | 155 | $0 |
| 95939 | Placement of skin electrodes and measurement of central motor stimulation in arms and legs | 90 | 90 | $0 |
| 95861 | Needle measurement of electrical activity in arm or leg muscles, 2 extremities | 52 | 52 | $0 |
Insurance plans in this area (ZIP 37027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| N E U R O L O G Y | MD | |
| N E U R O L O G Y | TN | |
| N E U R O L O G Y | TX | |
| - | TN | |
| N E U R O L O G Y | TN | |
| - | CO | |
| - | LA | |
| N E U R O L O G Y | NY |
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