JACOB JEFFREY MERRELL (M.D.) – Diagnostic Radiology Physician, NPI 1265676381
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
42 DIAGNOSTIC RADIOLOGY in WY
Provider Addresses for JACOB JEFFREY MERRELL (M.D.)
419 S WASHINGTON ST STE 101
CASPER, WY 826012991
Phone: (307) 265-1620
Fax: (307) 237-1074
Type: Mailing
Powell Hospital, 777, Avenue H, Powell, Park County, Wyoming, 82435, United States
POWELL, WY 824352260
Phone: (307) 754-2267
Type: Location
128, East 2nd Street, Powell, Park County, Wyoming, 82435, United States
POWELL, WY 824352318
Phone: (307) 754-3319
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: 2015-01-26
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 |
|---|---|---|---|---|
| I20150126001400 | I | Diagnostic Radiology | WY | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 890 | 13 | $0 |
| 71045 | X-ray of chest, 1 view | 367 | 333 | $0 |
| 77067 | Screening mammography | 188 | 188 | $0 |
| 77063 | Screening 3d breast mammography | 167 | 167 | $0 |
| 71046 | X-ray of chest, 2 views | 167 | 165 | $0 |
Insurance plans in this area (ZIP 82601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WY | 71010 | X-ray of chest, 1 view, front | 393 | 293 |
| DIAGNOSTIC RADIOLOGY | WY | 73562 | X-ray of knee, 3 views | 78 | 66 |
| DIAGNOSTIC RADIOLOGY | WY | 73630 | X-ray of foot, minimum of 3 views | 65 | 51 |
| DIAGNOSTIC RADIOLOGY | WY | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 12 | 11 |
| DIAGNOSTIC RADIOLOGY | WY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 91 | 84 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Vascular Surgery | WA | |
| Diagnostic Radiology | WY | |
| Physician Assistant | WY | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology, Interventional Radiology | WY | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | CA | |
| - | WY |
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