Deactivated NPI 1477550176 Deactivated / Inactive NPI Male Practitioner

Dr. Jacob Small , PhD, ARNP-C

Nurse Practitioner • Palmetto Bay, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacob Small has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005

NPI Deactivation Date March 20, 2006

Total Practice Duration ~6 Years of Practice (2000 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Small, PhD, ARNP-C was a registered Nurse Practitioner practicing in Palmetto Bay, FL. Throughout an active medical career spanning 6 years, Dr. Small provided care at the practice location at 13805 SW 78TH CT until profile deactivation on 2006-03-20.

Dr. Small did not directly accept Medicare assignment.

Historical Medicare Part B clinical services included follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

13805 Sw 78th Ct

Palmetto Bay, FL 331581109

Telephone 3059722614

Associated Practice Facility / Clinic

🏢 Dr. Jacob Small, Pa Facility NPI 1649516030

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Palmetto Bay, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +11.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Palmetto Bay, FL (8990 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

3.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Small (26 Years) 26 Yrs

Palmetto Bay Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,459	339	$46.15	$44.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	812	302	$72.55	$69.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	762	204	$43.05	$42.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	681	201	$76.80	$71.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	514	134	$42.89	$36.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	508	138	$77.38	$65.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	529	129	$42.02	$35.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	397	133	$78.37	$66.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	861	138	$43.30	$37.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	558	167	$79.56	$67.01
99221 Initial hospital inpatient care per day, typically 30 minutes	53	48	$114.19	$97.27
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	16	13	$184.25	$158.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	489	189	$80.00	$67.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	264	115	$43.00	$36.55
99221 Initial hospital inpatient care per day, typically 30 minutes	188	154	$114.00	$95.85
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	28	19	$182.00	$152.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	359	154	$75.17	$65.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	225	112	$40.41	$35.49
99221 Initial hospital inpatient care per day, typically 30 minutes	168	144	$106.93	$93.37
11042 Removal of skin and tissue, 20.0 sq cm or less	30	27	$64.20	$57.84
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	19	17	$172.05	$149.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	87	$67.08	$64.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	144	89	$37.50	$35.61
99221 Initial hospital inpatient care per day, typically 30 minutes	108	98	$96.00	$93.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	12	$23.95	$23.16
11042 Removal of skin and tissue, 20.0 sq cm or less	26	15	$59.00	$58.06
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	15	12	$155.00	$150.58

Medical Specialties & State Licenses

CMS Verified: 2024-05-09

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP2163832

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME51250

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

304943400 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

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Updated Practice Location May 09, 2024

Registered at 13805 SW 78TH CT, PALMETTO BAY, FL 331581109 (Tel: 3059722614)

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Updated Business Mailing Address May 09, 2024

Registered at 13805 SW 78TH CT, PALMETTO BAY, FL 331581109 (Tel: 3059722614)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2024

Nurse Practitioner (License #ARNP2163832 in FL)

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Updated Practice Location March 21, 2013

Registered at 372 W 47TH ST, HIALEAH, FL 330123950 (Tel: 3056980112)

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Updated Business Mailing Address March 21, 2013

Registered at PO BOX 143410, CORAL GABLES, FL 331143410

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Provider Name / Credentials Updated March 21, 2013

Recorded as JACOB SMALL, PHD, ARNP-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Surgery (License #ME51250 in FL)

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NPI Profile Reactivated March 30, 2006

Record officially reactivated for active practice on March 30, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477550176

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2005

Last Update: May 09, 2024

Deactivation Date: March 20, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

13805 Sw 78th Ct

Palmetto Bay, FL 331581109

Phone: 3059722614

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.