DR. JACOB O ROBSON (MD) – Pediatric Gastroenterology Physician, NPI 1063672038

DR. JACOB O ROBSON (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 9386804-1205 (UT). The NPI Number for DR. JACOB O ROBSON (MD) is 1063672038

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB O ROBSON (MD)
NPI
1063672038
Phone
Not provided
Address
PO BOX 30180
Enumeration Date
13 June 2008
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012133599
Graduation Year
2008 (18 years ago)
PAC ID
5698947398
Group Practice PAC ID
0547552473
Professional Enrollment ID
I20150731014530
Address ID
UT841131125SA81XXXDRXX500

Contacts

Secure Messaging
jrobson150287@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:17State licenses:2Other names

279 PEDIATRIC MEDICINE in UT

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Provider Addresses for DR. JACOB O ROBSON (MD)

  • PO BOX 30180

    SALT LAKE CITY, UT 841300180

    Phone:

    Type: Mailing

  • Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84412, United States

    SALT LAKE CITY, UT 841131125

    Phone: (801) 213-3599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $50,808.

Total Amount is formed as General ($50,808) + Research ($0) + Ownership ($0) = $50,808.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GENZYME CORPORATION ($28,400).

Total Amount

$50,808

General + Research + Ownership

Payments

36

Total payment records

General Amount

$50,808

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2015-07-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150731014530IPediatric MedicineUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84130)

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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: 0547552473View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. JACOB O ROBSON (MD)?
For DR. JACOB O ROBSON (MD), use NPI 1063672038 as the unique 10-digit identifier.
Is DR. JACOB O ROBSON (MD) shown as active in public data?
Registry records indicate DR. JACOB O ROBSON (MD) maintains an active NPI.
What clinical focus is listed for DR. JACOB O ROBSON (MD)?
At a glance, DR. JACOB O ROBSON (MD) is tied to Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JACOB O ROBSON (MD)?
Directory geography for DR. JACOB O ROBSON (MD) centers on Salt Lake City, Utah.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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