DR. JACOB BEN PERLMAN (MD) – Student in an Organized Health Care Education/Training Program, NPI 1073177002
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
704 NEUROLOGY in VA
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Provider Addresses for DR. JACOB BEN PERLMAN (MD)
1215 LEE ST BOX 800394
CHARLOTTESVILLE, VA 229080816
Phone: (434) 924-5306
Fax: (434) 982-1064
Type: Mailing
University of Virginia Medical Center, 1215, Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22908, United States
CHARLOTTESVILLE, VA 229080816
Phone: (434) 924-5306
Fax: (434) 982-1064
Type: Location
2500 NE Neff Rd
Bend, OR 977016015
Phone: (541) 382-4321
Type: Location
121 MEDICAL CENTER DR STE G500
BRUNSWICK, ME 040112660
Phone: (207) 373-6099
Fax: (207) 618-5690
Type: Mailing
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 494-7772
Fax: (503) 418-3283
Type: Location
81 MEDICAL CENTER DR STE 1300
BRUNSWICK, ME 040112765
Phone: (207) 373-6099
Fax: (207) 618-5690
Type: Mailing
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: 2025-09-10
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 |
|---|---|---|---|---|
| I20250910002908 | I | Neurology | ME | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22908)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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