JORDAN GALLO JACOBS (PA-C) – Physician Assistant, NPI 1003225855
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for JORDAN GALLO JACOBS (PA-C)
6315 S ZARZAMORA ST
SAN ANTONIO, TX 782113218
Phone: (210) 977-1900
Fax: (210) 977-9326
Type: Location
3750 COMMERCIAL AVE
SAN ANTONIO, TX 782213117
Phone: (210) 334-3750
Fax: (210) 922-0162
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 206 Open Payments records for all available years, with a total value of $4,645.
Total Amount is formed as General ($4,645) + Research ($0) + Ownership ($0) = $4,645.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Lilly USA, LLC ($613).
Total Amount
$4,645
General + Research + Ownership
Payments
206
Total payment records
General Amount
$4,645
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $613 |
| SHIELD THERAPEUTICS INC | $379 |
| Nevro Corp. | $286 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $231 |
| Novo Nordisk Inc | $208 |
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: 2014-10-31
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 |
|---|---|---|---|---|
| I20141031001874 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 93 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 98 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 36 | 36 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 78211)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX |
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