KARNY JACOBY (MD) – Urology Physician, NPI 1841274412
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
317 UROLOGY in WA
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Provider Addresses for KARNY JACOBY (MD)
6005, Northeast 205th Street - 244th Street Southwest, Mountlake Terrace, King County, Washington, 98036, United States
STE 111
MOUNTLAKE TERRACE, WA 98043
Phone: (425) 275-5555
Fax: (425) 275-5590
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 72 Open Payments records for all available years, with a total value of $3,283.
Total Amount is formed as General ($3,283) + Research ($0) + Ownership ($0) = $3,283.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($1,600).
Total Amount
$3,283
General + Research + Ownership
Payments
72
Total payment records
General Amount
$3,283
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,600 |
| PROCEPT BioRobotics Corporation | $812 |
| COLOPLAST CORP | $373 |
| Sumitomo Pharma America, Inc. | $150 |
| Laborie Medical Technologies Corp. | $127 |
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: 2010-08-26
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 |
|---|---|---|---|---|
| I20100826000532 | I | Urology | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 81 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 86 | 86 | $0 |
| 81003 | Automated urinalysis test | 80 | 61 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 74 | 68 | $0 |
Insurance plans in this area (ZIP 98043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | WA | 51798 | Ultrasound measurement of bladder capacity after voiding | 155 | 130 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| Qualified Speech Language Pathologist | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | TX | |
| - | WA |
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