Jacob Riis, MD
NPI 1043417611ActiveIndividual· Orthopaedic Surgery· Nellis Afb, NV
Orthopaedic Surgery (MD) in Nellis Afb, Nevada, trained at University of South Carolina School of Medicine (class of 2007). Enrolled in Medicare as practitioner - orthopedic surgery. Goode Surgical Inc reported $35.33 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1043417611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 28, 2007 |
| Last updated in NPPES | Aug 27, 2024 |
| Certified by provider | Aug 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | ME 103069 | FL |
| Orthopaedic Surgery | 207X00000X | 69060 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (AZ) |
|---|
Education and affiliations
| Medical school | University of South Carolina School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Kingman Healthcare IncKingman, AZ · 186 clinicians
Hospital affiliation
- Kingman Regional Medical CenterKingman, AZ
Other facilities
- Allegiant Home HealthHome health agency · Las Vegas, NV
- Enhabit Home HealthHome health agency · Las Vegas, NV
Industry payments (Open Payments)
- 2025$35.33 · 1 payment from 1 company
- 2024$174.68 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Goode Surgical Inc | $35.33 | 1 |
What the 2025 payments were for
- Food and Beverage$35.33 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Orthopaedic Surgery providers in Nellis Afb
- 1538586193
- 1174722425
- 1881683597