DR. JACOB POWELL (D.O.) – Emergency Medicine Physician, NPI 1073897393

DR. JACOB POWELL (D.O.) is a healthcare provider. based in Fort sam houston, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. BP10044937 (TX). The NPI Number for DR. JACOB POWELL (D.O.) is 1073897393

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB POWELL (D.O.)
NPI
1073897393
Phone
(210) 916-6129
Address
3851 ROGER BROOKE DR # 3600
Enumeration Date
5 October 2011
Last Update Date
3 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2011 (15 years ago)
PAC ID
0042551459
Group Practice PAC ID
1658272968
Professional Enrollment ID
I20220608001794
Address ID
AZ852977323GI3555XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. JACOB POWELL (D.O.)

  • 3851 ROGER BROOKE DR # 3600

    DEPARTMENT OF EMERGENCY MEDICINE

    FORT SAM HOUSTON, TX 782344501

    Phone: (210) 916-6129

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Abbott Laboratories ($104).

Total Amount

$186

General + Research + Ownership

Payments

5

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191104003320IEmergency MedicineUTTBD
I20220608001794IEmergency MedicineAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making370367$0
99284Emergency department visit with moderate level of medical decision making102102$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2523$0
99291Critical care, first 30-74 minutes2222$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658272968View full group profile
NameSpecialtyState
Emergency MedicineAZ
-AZ
Emergency MedicinePA
Emergency MedicineAZ
Emergency MedicineMA
Emergency MedicineAZ
Emergency MedicineMI
Emergency MedicineTX
Emergency MedicineNV
Emergency MedicineTX

Reviews

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Frequently asked questions

What number should I use to identify DR. JACOB POWELL (D.O.) for billing?
Administrative and clinical systems typically use NPI 1073897393 for DR. JACOB POWELL (D.O.).
Quick check: is DR. JACOB POWELL (D.O.) active?
Public NPPES data shows DR. JACOB POWELL (D.O.) with an active NPI status right now.
What services align with DR. JACOB POWELL (D.O.)'s listing?
DR. JACOB POWELL (D.O.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JACOB POWELL (D.O.) in Fort Sam Houston, Texas?
For routing, start with Fort Sam Houston, Texas for DR. JACOB POWELL (D.O.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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