Randall S. Jacobs, MD
NPI 1093798316ActiveIndividual· Internal Medicine, Gastroenterology· Fort Myers, FL
Internal Medicine, Gastroenterology (MD) in Fort Myers, Florida, trained at Wayne State University School of Medicine (class of 1986). Their prescriptions cost Medicare Part D more than their services did: $190,052 for 717 claims, against $66,899 paid for services in 2024. Madrigal Pharmaceuticals was the largest of 7 companies reporting payments in 2025, $595.58 in all, mostly food and beverage.
Overview
| NPI | 1093798316 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 21, 2005 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | ME164131 | FL |
| Internal Medicine, Gastroenterology | 207RG0100X | 4301406898 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (FL); Practitioner - Gastroenterology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 271 |
|---|---|
| Services billed | 627 across 27 procedure codes |
| Paid by Medicare | $66,899 |
Part D prescriptions in 2024
| Prescriptions (claims) | 717 · 1,209 30-day fills |
|---|---|
| Patients | 369 |
| Total drug cost | $190,052 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Gastroenterology |
Medical group
- Lee Health System IncFort Myers, FL · 1,428 clinicians
Hospital affiliations
- Cape Coral HospitalCape Coral, FL
- Gulf Coast Medical Center Lee HealthFort Myers, FL
- Lee Memorial HospitalFort Myers, FL
Industry payments (Open Payments)
- 2025$595.58 · 11 payments from 7 companies
- 2024$1,159 · 27 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $159.27 | 3 |
| Janssen Biotech, Inc. | $147.11 | 1 |
| Galderma Laboratories, L.P. | $134.08 | 1 |
| Abbvie Inc. | $65.93 | 3 |
| Janssen Scientific Affairs, LLC | $43.04 | 1 |
What the 2025 payments were for
- Food and Beverage$595.58 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 55 gastroenterologists in Fort Myers · All gastroenterologists in Florida