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Active NPI 1548667264 Individual Practitioner Male Practitioner

Matt B Jacobs , PA-C

Physician Assistant • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matt Jacobs, PA-C is a certified Physician Assistant practicing in Mesa, AZ. With approximately 12 years of clinical experience since completing medical education in 2014, Matt Jacobs delivers high-quality medical care to the local community at 5155 E. EAGLE DRIVE #20730.

Matt Jacobs is affiliated with Valleywide Surgical Services, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, insertion of cage or mesh device to spine bone and disc space during spine fusion, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5155 E. Eagle Drive #20730

Mesa, AZ 852773031

Telephone 4807069430
Fax 4803782273
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +4.4 yrs vs City Avg
City Avg: 7.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
96.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobs (12 Years) 12 Yrs
Mesa Specialty Average (7.6 Years) 7.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
12 12 $4701.67 $183.26

Medical Specialties & State Licenses

CMS Verified: 2025-04-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 5936

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
981219 (AZ)
Commercial Insurance / Payer ID Railroad Medicare
P01499301 (AZ)

Hospital & Practice Group Affiliations

Valleywide Surgical Services, Llc

4320 E Presidio St, Mesa, AZ 852151165

Phone: 4807069430

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1043287683

Doctor of Medicine (M.D.)

Derek Taylor , PA-C

Physician Assistant

NPI 1093111304

Physician Assistant (Certified)

NPI 1124002308

Doctor of Medicine (M.D.)

Dorota Dietz , PA-C

Physician Assistant

NPI 1164708111

Physician Assistant (Certified)

Leigh Pavlik , PA-C

Physician Assistant - Surgical

NPI 1184015497

Physician Assistant (Certified)

Thomas Wiggins , CSA

Physician Assistant - Surgical

NPI 1184647034

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location April 08, 2025

Registered at 5155 E. EAGLE DRIVE #20730, MESA, AZ 852773031 (Tel: 4807069430)

📍
Updated Practice Location April 18, 2018

Registered at 4320 E. PRESIDIO STREET #101, MESA, AZ 852153031 (Tel: 4807069430)

👤
Provider Name / Credentials Updated April 18, 2018

Recorded as MATT JACOBS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2018

Physician Assistant (License #5936 in AZ)

NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2017

Registered at 4320 E. PRESIDIO STREET #101, MESA, AZ 852151165 (Tel: 4807069430)

📍
Updated Business Mailing Address January 31, 2017

Registered at 5155 E. EAGLE DRIVE #20730, MESA, AZ 852773031 (Tel: 4807069430)

👤
Provider Name / Credentials Updated January 31, 2017

Recorded as MATTHEW JACOBS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Physician Assistant (License #5936 in AZ)

NPI Profile Active December 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2014

Registered at 2852 S CARRIAGE LN, MESA, AZ 852027801 (Tel: 4807069430)

📍
Updated Business Mailing Address December 15, 2014

Registered at P.O. BOX 250, BIG ARM, MT 59910 (Tel: 4064596957)

👤
Provider Name / Credentials Updated December 15, 2014

Recorded as MATTHEW JACOBS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2014

Physician Assistant (License #5936 in AZ)

🟢
Initial NPI Registration & Enumeration November 24, 2014

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: 1548667264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2014
Last Update: April 08, 2025
Sole Proprietor: No

Mailing Address

5155 E. Eagle Drive #20730

Mesa, AZ 852773031

Phone: 4807069430

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.