ERIC K JACOBSON (PA) – Physician Assistant, NPI 1043617434
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
Provider Addresses for ERIC K JACOBSON (PA)
390 RIVER STREET
SPRINGFIELD, VT 051562226
Phone: (802) 886-4500
Fax: (802) 886-4560
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)
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: 2016-12-29
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 |
|---|---|---|---|---|
| I20161229000815 | I | Physician Assistant | VT | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 198 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 181 | 54 | $0 |
| 90837 | Psychotherapy, 1 hour | 142 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 104 | 45 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 55 | 20 | $0 |
Insurance plans in this area (ZIP 05156)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CO | |
| Mental Health Counselor | VT | |
| P S Y C H I A T R Y | VT | |
| Clinical Psychologist | VT | |
| Mental Health Counselor | VT | |
| Mental Health Counselor | VT | |
| Clinical Social Worker | NY | |
| P S Y C H I A T R Y | CA | |
| - | VT | |
| P S Y C H I A T R Y | VT |
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