DR. JACOB DANIEL HARRIS (MD) – Diagnostic Radiology Physician, NPI 1174720288
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. JACOB DANIEL HARRIS (MD)
19020 33rd Ave W Ste 210
Lynnwood, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1501
Type: Location
19020, 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98036, United States
SUITE 210
LYNNWOOD, WA 980364746
Phone: (425) 563-1500
Fax: (425) 563-1374
Type: Mailing
400 E 5TH AVE
SPOKANE, WA 992021334
Phone: (509) 838-2531
Fax: (509) 755-6580
Type: Location
19020 33RD AVE W STE 210
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1374
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.
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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: 2016-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150806010229 | I | Diagnostic Radiology | UT | TBD |
| I20160802002485 | I | Diagnostic Radiology | WA | TBD |
| I20161110001273 | I | Diagnostic Radiology | ID | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 727 | 727 | $0 |
| 77063 | Screening 3d breast mammography | 726 | 726 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 217 | 213 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 135 | 134 | $0 |
| 71045 | X-ray of chest, 1 view | 118 | 115 | $0 |
Insurance plans in this area (ZIP 98036)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71010 | X-ray of chest, 1 view, front | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 39 | 39 |
| DIAGNOSTIC RADIOLOGY | WA | 73110 | X-ray of wrist, minimum of 3 views | 12 | 11 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 74 | 74 |
| DIAGNOSTIC RADIOLOGY | WA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | FL |
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