GREG ROBERT JACOBSEN (M.D.) – Dermatology Physician, NPI 1811105745
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
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Provider Addresses for GREG ROBERT JACOBSEN (M.D.)
300 East, Middleton, St. George, Washington County, Utah, 84771, United States
ST GEORGE, UT 847703620
Phone: (435) 628-2826
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 92 Open Payments records for all available years, with a total value of $1,636.
Total Amount is formed as General ($1,636) + Research ($0) + Ownership ($0) = $1,636.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($640).
Total Amount
$1,636
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,636
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $640 |
| Janssen Biotech, Inc. | $179 |
| PFIZER INC. | $148 |
| Dermavant Sciences, Inc. | $114 |
| LEO Pharma Inc. | $99 |
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: 2009-07-13
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 |
|---|---|---|---|---|
| I20090713000465 | I | Dermatology | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,201 | 667 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,214 | 1,043 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,117 | 935 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,012 | 596 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 662 | 563 | $0 |
Insurance plans in this area (ZIP 84770)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | UT | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 48 | 48 |
| DERMATOLOGY | UT | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 42 | 42 |
| DERMATOLOGY | UT | 17003 | Destruction of 2-14 skin growths | 2840 | 647 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| - | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | UT |
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