Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346359866 Individual Practitioner Male Practitioner

Mark Jacobs , PA

Physician Assistant • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Mark Jacobs, PA is a registered healthcare professional specializing in Physician Assistant in Modesto, CA. Practice services are available at 1541 FLORIDA AVE STE 305 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1541 Florida Ave Ste 305

Modesto, CA 953504439

Telephone 2095755833
Fax 2095755836
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
124 Specialists

Practicing in Modesto, CA (14617 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
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
18 14 $313.50 $64.27

Medical Specialties & State Licenses

CMS Verified: 2024-04-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL PA.1502

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License KS 15-01583

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
9500618500 (KY)
Commercial Insurance / Payer ID Nccpa
1017889
Commercial Insurance / Payer ID State Pa License
PA12419 (CA)

Secondary Practice Locations

201 Abraham Flexner Way Ste 1200

Louisville, KY 402023841

Phone: 5025887600

833 Princeton Ave Sw Ste 200a

Birmingham, AL 352111321

Phone: 2057862776

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Maykel Irandost , MD

Internal Medicine - Pulmonary Disease

NPI 1124523642

Doctor of Medicine (M.D.)

Dr. James Roberts , MD, RVT FACS

Surgery - Vascular Surgery

NPI 1356346936

Doctor of Medicine (M.D.), RVTFACS

Dr. Zachary Brewer , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1467741975

Doctor of Medicine (M.D.)

Dr. David Wells , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1720041957

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location April 04, 2024

Registered at 1541 FLORIDA AVE STE 305, MODESTO, CA 953504439 (Tel: 2095755833)

📍
Updated Practice Location February 16, 2020

Registered at 833 PRINCETON AVE SW STE 200A, BIRMINGHAM, AL 352111321 (Tel: 2057862776)

NPI Profile Active September 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2017

Registered at 201 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 402023841 (Tel: 5025887600)

📍
Updated Business Mailing Address September 20, 2017

Registered at PO BOX 909, LOUISVILLE, KY 402010909 (Tel: (502) 588-0328)

👤
Provider Name / Credentials Updated September 20, 2017

Recorded as MARK JACOBS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2017

Physician Assistant (License #15-01583 in KS)

NPI Profile Active April 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2013

Registered at 600 SW COLLEGE AVE, SUITE 202, TOPEKA, KS 666061684 (Tel: 7852705115)

📍
Updated Business Mailing Address April 01, 2013

Registered at DEPT CH 14389, PALATINE, IL 600554389 (Tel: 7852958108)

👤
Provider Name / Credentials Updated April 01, 2013

Recorded as MARK JACOBS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2013

Physician Assistant (License #15-01583 in KS)

🟢
Initial NPI Registration & Enumeration August 29, 2006

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: 1346359866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: April 04, 2024
Sole Proprietor: No

Mailing Address

Po Box 909

Louisville, KY 402010909

Phone: 5025880328

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.