DR. DWAYNE AUBREY JACOBUS (D.P.M.) – Primary Podiatric Medicine Podiatrist, NPI 1295726172
Primary Podiatric Medicine Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
231 PODIATRY in TN
Provider Addresses for DR. DWAYNE AUBREY JACOBUS (D.P.M.)
120 WALNUT COMMONS LN STE A
COOKEVILLE, TN 385016037
Phone: (931) 528-1331
Fax: (931) 528-6893
Type: Mailing
120 Walnut Commons Ln Ste A
Cookeville, TN 385016037
Phone: (931) 528-1331
Fax: (931) 528-6893
Type: Location
169 LAURELHURST AVE
COLUMBIA, SC 292103825
Phone: (803) 733-5969
Fax: (803) 753-5591
Type: Mailing
3800 N MAIN ST STE B
COLUMBIA, SC 292036446
Phone: (803) 705-3172
Fax: (803) 705-3173
Type: Location
510 W Cheves St
Florence, SC 295014448
Phone: (843) 679-9090
Fax: (843) 679-9080
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $208.
Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Averitas Pharma Inc. ($56).
Total Amount
$208
General + Research + Ownership
Payments
8
Total payment records
General Amount
$208
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $56 |
| Kerecis Limited | $49 |
| Paratek Pharmaceuticals, Inc. | $40 |
| Innovation Technologies Inc | $26 |
| ConvaTec Inc. | $24 |
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: 2020-07-13
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 |
|---|---|---|---|---|
| I20040816000075 | I | Podiatry | SC | TBD |
| I20200713003816 | I | Podiatry | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | SC | |
| P O D I A T R Y | NY | |
| P O D I A T R Y | WA | |
| P O D I A T R Y | SC | |
| P O D I A T R Y | SC | |
| P O D I A T R Y | SC | |
| P O D I A T R Y | SC | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | SC | |
| D E R M A T O L O G Y | SC |
Reviews
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