JACOB MYLES MCLEOD (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1083909329

JACOB MYLES MCLEOD (DPM) is a healthcare provider. based in Longview, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO60466892 (WA). The NPI Number for JACOB MYLES MCLEOD (DPM) is 1083909329

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JACOB MYLES MCLEOD (DPM)
NPI
1083909329
Phone
(360) 501-3400
Address
625 9TH AVE STE 210
Enumeration Date
15 June 2011
Last Update Date
31 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605013400
Graduation Year
2011 (15 years ago)
PAC ID
1052538022
Group Practice PAC ID
7315976792
Professional Enrollment ID
I20140814002427
Address ID
WA986322465LO625XXAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

360 PODIATRY in WA

Provider Addresses for JACOB MYLES MCLEOD (DPM)

  • 625 9TH AVE STE 210

    LONGVIEW, WA 986322465

    Phone: (360) 501-3400

    Fax: (360) 423-5682

    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 10 Open Payments records for all available years, with a total value of $724.

Total Amount is formed as General ($724) + Research ($0) + Ownership ($0) = $724.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Paragon 28, Inc. ($496).

Total Amount

$724

General + Research + Ownership

Payments

10

Total payment records

General Amount

$724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

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: 2014-08-14

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
I20140814002427IPodiatryWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg14419$0
73630X-ray of foot, minimum of 3 views8856$0
99213Established patient office or other outpatient visit, 20-29 minutes8355$0
99203New patient office or other outpatient visit, 30-44 minutes6868$0
73610X-ray of ankle, minimum of 3 views5827$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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Provider's Procedures

JACOB MYLES MCLEOD (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYWA73630X-ray of foot, minimum of 3 views9463

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: 7315976792View full group profile
NameSpecialtyState
Nurse PractitionerWA
Orthopedic SurgeryWA
Orthopedic SurgeryCA
Orthopedic SurgeryWA
Orthopedic SurgeryWA
Hand Surgery, Orthopedic SurgeryWA
Nurse PractitionerWA
-WA
Physician AssistantWA
Orthopedic SurgeryWA

Reviews

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Frequently asked questions

What is JACOB MYLES MCLEOD (DPM)'s NPI number?
JACOB MYLES MCLEOD (DPM)'s NPI is 1083909329 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JACOB MYLES MCLEOD (DPM)?
For scheduling context, JACOB MYLES MCLEOD (DPM) is shown as active in the registry.
What area of care is associated with JACOB MYLES MCLEOD (DPM)?
JACOB MYLES MCLEOD (DPM)'s record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is JACOB MYLES MCLEOD (DPM) located near Longview?
JACOB MYLES MCLEOD (DPM) currently maps to Longview, Washington in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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