Jacob Thomas Depolo, MD
NPI 1972000800ActiveIndividual· Radiology, Vascular & Interventional Radiology· Knoxville, TN
Radiology, Vascular & Interventional Radiology (MD) in Knoxville, Tennessee, trained at Jc Edwards School of Medicine, Marshall University (class of 2018). Mostly services rather than prescriptions: Medicare paid $35,147 for 777 patients in 2024, with only 16 Part D claims. Trisalus Life Sciences, Inc. was the largest of 7 companies reporting payments in 2025, $932.89 in all, mostly food and beverage.
Overview
| NPI | 1972000800 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 8, 2018 |
| Last updated in NPPES | Jul 2, 2026 |
| Certified by provider | Jul 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | 64086 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Interventional Radiology (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 777 |
|---|---|
| Services billed | 1,050 across 135 procedure codes |
| Paid by Medicare | $35,147 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 16 30-day fills |
|---|---|
| Total drug cost | $1,857 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | Jc Edwards School of Medicine, Marshall University |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Interventional Radiology |
Medical group
- Vista Radiology, PCKnoxville, TN · 65 clinicians
Hospital affiliations
- Fort Sanders Regional Medical CenterKnoxville, TN
- Leconte Medical CenterSevierville, TN
- Morristown Hamblen Hospital AssociationMorristown, TN
- Parkwest Medical CenterKnoxville, TN
- Roane Medical CenterHarriman, TN
Industry payments (Open Payments)
- 2025$932.89 · 15 payments from 7 companies
- 2024$1,367 · 15 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Trisalus Life Sciences, Inc. | $240.99 | 3 |
| Boston Scientific Corporation | $159.59 | 6 |
| Stryker Corporation | $149.40 | 2 |
| Sirtex Medical Inc | $136.85 | 1 |
| Galvanize Therapeutics, Inc | $115.58 | 1 |
What the 2025 payments were for
- Food and Beverage$932.89 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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