JACOB JEFFREY MERRELL (M.D.) – Diagnostic Radiology Physician, NPI 1265676381

JACOB JEFFREY MERRELL (M.D.) is a healthcare provider. based in Casper, Wyoming. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. CDR.0000559 (CO). The NPI Number for JACOB JEFFREY MERRELL (M.D.) is 1265676381

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JACOB JEFFREY MERRELL (M.D.)
NPI
1265676381
Phone
(307) 265-1620
Address
419 S WASHINGTON ST STE 101
Enumeration Date
21 April 2009
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3072651620
Graduation Year
2009 (17 years ago)
PAC ID
7315184330
Group Practice PAC ID
8224010871
Professional Enrollment ID
I20150126001400
Address ID
WY826012951CA419XXSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

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.

This can happen when there are no reportable CMS Open Payments records.

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150126001400IDiagnostic RadiologyWYTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml89013$0
71045X-ray of chest, 1 view367333$0
77067Screening mammography188188$0
77063Screening 3d breast mammography167167$0
71046X-ray of chest, 2 views167165$0
View full utilization report →

Insurance plans in this area (ZIP 82601)

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Provider's Procedures

JACOB JEFFREY MERRELL (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWY71010X-ray of chest, 1 view, front393293
DIAGNOSTIC RADIOLOGYWY73562X-ray of knee, 3 views7866
DIAGNOSTIC RADIOLOGYWY73630X-ray of foot, minimum of 3 views6551
DIAGNOSTIC RADIOLOGYWY76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1211
DIAGNOSTIC RADIOLOGYWY93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers9184

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: 8224010871View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Vascular SurgeryWA
Diagnostic RadiologyWY
Physician AssistantWY
Diagnostic RadiologyCO
Diagnostic RadiologyTX
Diagnostic Radiology, Interventional RadiologyWY
Diagnostic RadiologyWY
Diagnostic RadiologyCA
-WY

Reviews

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Frequently asked questions

What is the registry number for JACOB JEFFREY MERRELL (M.D.)?
The registry entry for JACOB JEFFREY MERRELL (M.D.) shows NPI 1265676381.
Is JACOB JEFFREY MERRELL (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists JACOB JEFFREY MERRELL (M.D.) as active.
What does the directory say JACOB JEFFREY MERRELL (M.D.) does?
Insurance directories may phrase it differently, but here JACOB JEFFREY MERRELL (M.D.) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JACOB JEFFREY MERRELL (M.D.)?
JACOB JEFFREY MERRELL (M.D.) is associated with Casper, Wyoming in the same public data insurers reference.
Can I export JACOB JEFFREY MERRELL (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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