EMILY ALYSON JACOBS (DO) – Pediatrics Physician, NPI 1487016465
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMILY ALYSON JACOBS (DO)
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-0111
Type: Location
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 049386144
Phone: (207) 778-0482
Fax: (207) 778-0133
Type: Mailing
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 049386144
Phone: (207) 778-0482
Fax: (207) 778-0133
Type: Mailing
46 Fairview Ave Ste 225
Skowhegan, ME 04976
Phone: (207) 474-6265
Fax: (207) 474-8365
Type: Location
PO BOX 468
SKOWHEGAN, ME 049760468
Phone: (207) 858-8358
Fax: (207) 474-9261
Type: Mailing
Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041023134
Phone: (207) 662-0111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Abbott Laboratories ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $34 |
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: 2019-11-04
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 |
|---|---|---|---|---|
| I20191104002121 | I | Pediatric Medicine | ME | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04102)
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Reviews
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