DR. MICHAEL JACOBSON (M.D.) – Otolaryngology Physician, NPI 1366442600
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
309 OTOLARYNGOLOGY in VA
Provider Addresses for DR. MICHAEL JACOBSON (M.D.)
901, Enterprise Parkway, Hampton Roads Center - South Campus, Hampton City, Virginia, 23666, United States
STE 300
HAMPTON, VA 236666249
Phone: (757) 825-2500
Fax: (757) 825-2500
Type: Mailing
5408 DISCOVERY PARK BLVD
SUITE 300
WILLIAMSBURG, VA 231882893
Phone: (757) 253-8722
Fax: (757) 253-8726
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 129 Open Payments records for all available years, with a total value of $4,241.
Total Amount is formed as General ($4,241) + Research ($0) + Ownership ($0) = $4,241.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AERIN MEDICAL INC. ($1,300).
Total Amount
$4,241
General + Research + Ownership
Payments
129
Total payment records
General Amount
$4,241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $1,300 |
| Medtronic, Inc. | $547 |
| Inspire Medical Systems, Inc. | $259 |
| Phathom Pharmaceuticals, Inc. | $236 |
| PFIZER INC. | $193 |
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: 2011-04-20
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 |
|---|---|---|---|---|
| I20110420000781 | I | Otolaryngology | VA | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 13,600 | 350 | $0 |
| 95004 | Test for allergy using allergenic extract | 3,677 | 76 | $0 |
| 95117 | Professional service for multiple injections of allergen | 3,383 | 268 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 1,579 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,222 | 772 | $0 |
Insurance plans in this area (ZIP 23666)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | VA | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 4936 | 99 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA | |
| Qualified Audiologist | VA | |
| Qualified Audiologist | WA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA |
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