JACOB KOGAN (MD) – Neurology Physician, NPI 1861677437
Neurology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACOB KOGAN (MD)
7000;7001;7002;7003;7004;7005;7006;7007;7008;7009;7010;7011, Main Campus Drive, Avalon at Lexington Hills, Lexington, Middlesex County, Massachusetts, 02452, United States
LEXINGTON, MA 024218609
Phone: (203) 804-1038
Type: Mailing
South Shore Hospital, 55, Fogg Road, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States
SOUTH WEYMOUTH, MA 021902432
Phone: (781) 340-8000
Type: Location
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: 2008-04-29
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 |
|---|---|---|---|---|
| I20080429000724 | I | Neurology | MA | 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 02421)
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