KENNETH H JACOBSON (MD) – Pediatric Anesthesiology Physician, NPI 1003909193
Pediatric Anesthesiology Physician
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NPPES metrics only — not quality of care.
4,591 ANESTHESIOLOGY in TX
Provider Addresses for KENNETH H JACOBSON (MD)
801 7th Ave
Fort Worth, TX 761042733
Phone: (682) 885-4054
Fax: (682) 885-7497
Type: Location
Cook Children's Medical Center, 801, 7th Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761042733
Phone: (682) 885-4054
Fax: (682) 885-7497
Type: Location
FT, R 42, Zieglöde, Frauenzell, Wiesent, Wörth an der Donau (VGem), Landkreis Regensburg, Bavaria, 93109, Germany
FORT WORTH, TX 761990371
Phone: (682) 885-1855
Fax: (682) 885-7347
Type: Mailing
550 1ST AVE
NEW YORK, NY 100166402
Phone: (212) 263-5072
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-04-17
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 |
|---|---|---|---|---|
| I20080417000255 | I | Anesthesiology | NY | 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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 72 | 71 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 71 | 70 | $0 |
| 01214 | Anesthesia for total hip replacement | 50 | 50 | $0 |
| 01400 | Anesthesia for other procedure or exam of knee joint using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 76104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | TX | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 28 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY | |
| - | NY | |
| Physical Therapist In Private Practice | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| Anesthesiology, Addiction Medicine, Interventional Pain Management | NY |
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