Active NPI 1205179751 Individual Practitioner Male Practitioner

Dr. Jacob Wayne Moss , MD, JD

General Practice • Saint Anthony, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Moss, MD, JD is a certified General Practice practicing in Saint Anthony, ID. With approximately 13 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2013, Dr. Moss delivers high-quality medical care to the local community at 335 E MAIN ST STE 1.

Dr. Moss maintains professional affiliations with Upper Valley Community Health Services Inc, Teton Valley Health Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, read by direct observation, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

335 E Main St Ste 1

Saint Anthony, ID 834451546

Telephone 2083564900

Fax 2086244116

Associated Practice Facility / Clinic

🏢 Upper Valley Community Health Services Inc Facility NPI 1972792489

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Saint Anthony, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Saint Anthony, ID (37 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moss (13 Years) 13 Yrs

Saint Anthony Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$177.93	$84.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	43	$253.00	$120.01
99213 Established patient office or other outpatient visit, typically 15 minutes	45	34	$173.47	$84.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	51	$307.41	$101.96
80305 Testing for presence of drug, read by direct observation	65	18	$40.00	$12.46
99213 Established patient office or other outpatient visit, typically 15 minutes	59	38	$190.75	$70.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	18	$77.75	$21.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$271.39	$100.33
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	18	13	$145.83	$42.13
99443 Telephone medical discussion with physician, 21-30 minutes	14	14	$100.00	$99.54
36415 Insertion of needle into vein for collection of blood sample	13	12	$20.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$200.00	$69.25

Medical Specialties & State Licenses

CMS Verified: 2025-10-15

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License ID M-14547

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License GA TM190

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Upper Valley Community Health Services Inc

335 E Main St, Saint Anthony, ID 834451546

Phone: 2083564900

Teton Valley Health Care Inc

283 N 1st St, Driggs, ID 834225109

Phone: 2083542302

Secondary Practice Locations

3724 Woodking Dr Ste 1

Idaho Falls, ID 83404

Phone: 2083564900

72 S 1st E Ste 101

Rexburg, ID 834401902

Phone: 2083564900

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dave Robinson , PA-C

Physician Assistant

NPI 1003257478

Physician Assistant (Certified)

Megan Thompson , LCSW

Social Worker - Clinical

NPI 1033887146

Licensed Clinical Social Worker

Rhet Dalling , LCSW

Social Worker - Clinical

NPI 1104184738

Licensed Clinical Social Worker

Linda Lopez , LCSW

Social Worker - Clinical

NPI 1134543796

Licensed Clinical Social Worker

Dr. Jacob Nelson , DO

Pediatrics

NPI 1144675679

Doctor of Osteopathic Medicine (D.O.)

Garett Rumsey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154280675

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location October 15, 2025

Registered at 335 E MAIN ST STE 1, SAINT ANTHONY, ID 834451546 (Tel: 2083564900)

📍

Updated Business Mailing Address October 15, 2025

Registered at PO BOX 18, SAINT ANTHONY, ID 834450018 (Tel: 2083564900)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2025

General Practice (License #M-14547 in ID)

📍

Updated Practice Location August 22, 2022

Registered at 283 N 1ST ST, DRIGGS, ID 834225109 (Tel: 2083542302)

📍

Updated Business Mailing Address August 22, 2022

Registered at 241 HARVARD AVE, REXBURG, ID 834402210 (Tel: 2083131438)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2022

General Practice (License #TM190 in GA)

📍

Updated Practice Location February 17, 2020

Registered at 1995 E 17TH ST, IDAHO FALLS, ID 834046493 (Tel: 2085381999)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2020

Student in an Organized Health Care Education/Training Program

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2019

General Practice (License #M-14547 in ID)

✅

NPI Profile Active April 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2013

Registered at 13001 E 17TH PL, AURORA, CO 800452570 (Tel: 3037242680)

📍

Updated Business Mailing Address April 03, 2013

Registered at 236 HARVARD AVE, REXBURG, ID 834402211 (Tel: 2083131438)

👤

Provider Name / Credentials Updated April 03, 2013

Recorded as JACOB MOSS, M.D., J.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 03, 2013

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: 1205179751

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2013

Last Update: October 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 18

Saint Anthony, ID 834450018

Phone: 2083564900

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.