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Active NPI 1821502154 Individual Practitioner Male Practitioner

Michael Blake Jacob , PA-C

Physician Assistant • Plymouth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Jacob, PA-C is a certified Physician Assistant practicing in Plymouth, MN. With approximately 9 years of clinical experience since completing medical education in 2017, Michael Jacob delivers high-quality medical care to the local community at 2855 CAMPUS DR.

Michael Jacob is affiliated with Allina Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid large joint using ultrasound guidance, established patient 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

2855 Campus Dr

Plymouth, MN 554412649

Telephone 7635777000
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1295799518

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Plymouth, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
54 Specialists

Practicing in Plymouth, MN (4026 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacob (9 Years) 9 Yrs
Plymouth Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
172 17 $5.30 $0.99
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
26 21 $514.19 $85.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 15 $408.50 $105.99
99213 Established patient office or other outpatient visit, typically 15 minutes
16 15 $288.90 $75.48

Medical Specialties & State Licenses

CMS Verified: 2021-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 12593

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.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License MN 12595

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Hospital & Practice Group Affiliations

Allina Health System

8100 W 78th St, Edina, MN 554392570

Phone: 9529469777

Allina Health System

333 Smith Ave N, St Paul, MN 551022344

Phone: 6516359173

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Phone: 6122627476

Allina Health System

2805 Campus Dr, Plymouth, MN 554412680

Phone: 9529469777

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Allina Health System

333 Smith Ave N, Saint Paul, MN 551022344

Phone: 6512418000

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Secondary Practice Locations

800 E 28th St

Minneapolis, MN 554073723

Phone: 6128634000

Practice Associates & Co-Workers

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

11 Associated Practitioners
Jayne Eberhardt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033131180

Certified Registered Nurse Anesthetist

Peter Sedlacek , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043239361

Certified Registered Nurse Anesthetist

Darlene Flint , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093734311

Certified Registered Nurse Anesthetist

Nancy Schmidt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1194744425

Certified Registered Nurse Anesthetist

NPI 1316340128

Doctor of Psychology (Psy.D.), Licensed Psychologist, MACLAC

Amy Moe , PA

Physician Assistant

NPI 1457382137

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2017

Registered at 2855 CAMPUS DR, PLYMOUTH, MN 554412649 (Tel: 7635777000)

📍
Updated Business Mailing Address November 22, 2017

Registered at 5600 CAMERATA WAY UNIT 221, ST LOUIS PARK, MN 554165285 (Tel: 6125903809)

👤
Provider Name / Credentials Updated November 22, 2017

Recorded as MICHAEL JACOB, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2017

Orthopaedic Surgery (License #12595 in MN)

🟢
Initial NPI Registration & Enumeration November 22, 2017

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: 1821502154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2017
Last Update: March 11, 2021
Sole Proprietor: No

Mailing Address

5600 Camerata Way Unit 221

St Louis Park, MN 554165285

Phone: 6125903809

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.