SHANCY JACOB (D.O.) – Nephrology Physician, NPI 1194031641
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,168 NEPHROLOGY in TX
Provider Addresses for SHANCY JACOB (D.O.)
7616 BRANFORD PL STE 220
SUGAR LAND, TX 774793794
Phone: (713) 530-3585
Type: Location
301 UNIVERSITY BLVD
4.200 JOHN SEALY ANNEX
GALVESTON, TX 775550562
Phone: (409) 772-1811
Type: Mailing
2895 RAGUSA LN
LEAGUE CITY, TX 775736130
Phone: (713) 530-3585
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Outset Medical Inc ($74).
Total Amount
$118
General + Research + Ownership
Payments
3
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Outset Medical Inc | $74 |
| ANI Pharmaceuticals, Inc. | $25 |
| Novartis Pharmaceuticals Corporation | $19 |
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: 2014-12-17
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 |
|---|---|---|---|---|
| I20141217001031 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 149 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 95 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 108 | 50 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 20 | $0 |
Insurance plans in this area (ZIP 77479)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | TX | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 63 | 16 |
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