Active NPI 1104431485 Individual Practitioner Male Practitioner

Jacob Cole Lee , PA-C

Physician Assistant • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Lee, PA-C is a certified Physician Assistant practicing in Jackson, MS. With approximately 6 years of clinical experience since completing medical education in 2020, Jacob Lee delivers high-quality medical care to the local community at 1325 E FORTIFICATION ST.

Jacob Lee is affiliated with Mississippi Sports Medicine And Orthopaedic Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of foot, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1325 E Fortification St

Jackson, MS 392022442

Telephone 6013544488

Fax 6013515980

Associated Practice Facility / Clinic

🏢 Mississippi Sports Medicine & Orthopaedic Center Facility NPI 1568415560

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jackson, MS

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -0.4 yrs vs City Avg

City Avg: 6.4 Yrs

State Avg: 8.9 Yrs

Regional Practice Density

66 Specialists

Practicing in Jackson, MS (343 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (6 Years) 6 Yrs

Jackson Specialty Average (6.4 Years) 6.4 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	408	50	$4.78	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	388	275	$138.00	$68.94
73630 X-ray of foot, minimum of 3 views	370	236	$126.96	$24.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	238	$208.00	$94.94
73610 X-ray of ankle, minimum of 3 views	244	166	$106.67	$26.48
20610 Aspiration and/or injection of fluid from large joint	92	72	$208.00	$58.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$328.00	$128.15
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	58	46	$68.00	$18.66
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	50	19	$488.00	$116.90
73562 X-ray of knee, 3 views	48	39	$130.67	$30.63
97140 Therapy procedure using manual technique, each 15 minutes	30	20	$78.00	$16.75
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	27	24	$68.00	$24.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$238.00	$85.88
73030 X-ray of shoulder, minimum of 2 views	26	24	$138.00	$25.69
72100 X-ray of lower and sacral spine, 2-3 views	26	23	$128.00	$29.36
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	22	19	$88.00	$44.95
Q4046 Cast supplies, short leg splint, adult (11 years +), fiberglass	21	20	$88.00	$22.41
29515 Application of short leg splint from calf to foot	21	20	$188.00	$55.27
73502 X-ray of hip, 2-3 views	20	18	$118.00	$33.35
72170 X-ray of pelvis, 1-2 views	16	14	$158.00	$20.51
11721 Removal of fingernails or toenails, 6 or more nails	15	11	$128.00	$31.61
73130 X-ray of hand, minimum of 3 views	14	13	$128.00	$27.34
97530 Therapy procedure using functional activities	13	11	$78.00	$25.90
72040 X-ray of upper spine, 2-3 views	13	13	$138.00	$29.33
73700 Ct scan of leg without contrast	12	12	$610.00	$75.59
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	11	11	$58.00	$6.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	492	67	$4.78	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	389	289	$138.00	$68.67
73630 X-ray of foot, minimum of 3 views	281	214	$116.61	$24.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	242	$208.00	$97.09
73610 X-ray of ankle, minimum of 3 views	209	155	$99.73	$26.63
20610 Aspiration and/or injection of fluid from large joint	112	80	$208.00	$53.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$328.00	$127.91
73562 X-ray of knee, 3 views	74	70	$121.08	$30.24
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	70	62	$68.00	$18.49
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	44	37	$68.00	$23.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$222.57	$86.86
73502 X-ray of hip, 2-3 views	34	33	$118.00	$33.99
72100 X-ray of lower and sacral spine, 2-3 views	31	30	$128.00	$30.06
97140 Therapy procedure using manual technique, each 15 minutes	27	26	$78.00	$16.99
29515 Application of short leg splint from calf to foot	25	21	$188.00	$52.55
Q4046 Cast supplies, short leg splint, adult (11 years +), fiberglass	24	20	$88.00	$20.94
73030 X-ray of shoulder, minimum of 2 views	24	24	$138.00	$25.40
97530 Therapy procedure using functional activities	20	19	$78.00	$28.23
11721 Removal of fingernails or toenails, 6 or more nails	18	11	$128.00	$34.03
73110 X-ray of wrist, minimum of 3 views	18	15	$104.89	$30.42
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	17	13	$88.00	$45.40
73600 X-ray of ankle, 2 views	16	13	$94.50	$24.68
73130 X-ray of hand, minimum of 3 views	16	15	$128.00	$27.69
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	15	15	$58.00	$6.39
72170 X-ray of pelvis, 1-2 views	14	14	$158.00	$20.91
29405 Application of short leg cast	13	12	$368.00	$56.45
72040 X-ray of upper spine, 2-3 views	12	12	$138.00	$29.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	624	67	$4.78	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	360	278	$138.00	$68.81
73630 X-ray of foot, minimum of 3 views	228	160	$117.33	$24.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	194	$208.00	$97.85
73610 X-ray of ankle, minimum of 3 views	166	127	$98.89	$26.87
20610 Aspiration and/or injection of fluid from large joint	120	89	$208.00	$56.03
73562 X-ray of knee, 3 views	89	81	$120.81	$29.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$328.00	$128.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$218.00	$86.09
72100 X-ray of lower and sacral spine, 2-3 views	43	43	$128.00	$30.30
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	40	27	$88.00	$43.52
73130 X-ray of hand, minimum of 3 views	35	28	$109.71	$26.68
73030 X-ray of shoulder, minimum of 2 views	33	31	$133.82	$26.17
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	26	22	$68.00	$18.74
73502 X-ray of hip, 2-3 views	26	26	$118.00	$33.00
73110 X-ray of wrist, minimum of 3 views	25	22	$103.84	$29.54
72170 X-ray of pelvis, 1-2 views	25	24	$158.00	$21.03
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	25	12	$488.00	$130.40
29515 Application of short leg splint from calf to foot	20	18	$188.00	$53.01
Q4046 Cast supplies, short leg splint, adult (11 years +), fiberglass	20	18	$88.00	$19.37
97530 Therapy procedure using functional activities	18	14	$78.00	$28.27
29125 Application of nonmoveable forearm to hand splint	16	16	$228.00	$46.82
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	16	16	$88.00	$12.35
29405 Application of short leg cast	15	13	$368.00	$60.31
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	13	13	$68.00	$23.65
72040 X-ray of upper spine, 2-3 views	13	13	$138.00	$30.12
73590 X-ray of lower leg, 2 views	13	12	$118.00	$23.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	212	$138.00	$70.61
73630 X-ray of foot, minimum of 3 views	128	110	$118.00	$24.85
73610 X-ray of ankle, minimum of 3 views	115	97	$100.49	$26.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	101	$208.00	$100.49
20610 Aspiration and/or injection of fluid from large joint	94	68	$208.00	$54.44
J1030 Injection, methylprednisolone acetate, 40 mg	85	45	$48.00	$5.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$218.00	$87.22
73562 X-ray of knee, 3 views	73	62	$113.97	$29.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$328.00	$130.90
72100 X-ray of lower and sacral spine, 2-3 views	45	45	$128.00	$29.97
73030 X-ray of shoulder, minimum of 2 views	31	28	$129.10	$25.74
73130 X-ray of hand, minimum of 3 views	29	26	$119.17	$26.79
72170 X-ray of pelvis, 1-2 views	27	27	$158.00	$20.96
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	24	20	$88.00	$43.15
73110 X-ray of wrist, minimum of 3 views	23	22	$112.87	$30.17
73502 X-ray of hip, 2-3 views	22	22	$118.00	$33.45
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	21	12	$488.00	$128.97
29125 Application of nonmoveable forearm to hand splint	17	17	$228.00	$49.09
29405 Application of short leg cast	16	15	$368.00	$61.28
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	15	15	$88.00	$12.07

Medical Specialties & State Licenses

CMS Verified: 2025-03-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Q063672 (TN)

Medicaid State Provider ID

00827741 (MS)

Hospital & Practice Group Affiliations

Mississippi Sports Medicine And Orthopaedic Center

1325 E Fortification St, Jackson, MS 392022442

Phone: 6013544488

Mississippi Sports Medicine And Orthopaedic Center

501 Baptist Dr, Madison, MS 391102031

Phone: 6013544488

Mississippi Sports Medicine And Orthopaedic Center

4506 Lakeland Dr, Flowood, MS 392329583

Phone: 6013544488

Secondary Practice Locations

1400 S Germantown Rd

Germantown, TN 381382205

Phone: 9017593100

7545 Airways Blvd

Southaven, MS 386715806

Phone: 9017593100

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Fortunato Padua , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Dr. Larry Field , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Mary Durr , PA-C

Physician Assistant - Surgical

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Physician Assistant (Certified)

John Causey , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1083149181

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location March 13, 2025

Registered at 1325 E FORTIFICATION ST, JACKSON, MS 392022442 (Tel: 6013544488)

📍

Updated Business Mailing Address March 13, 2025

Registered at 1325 E FORTIFICATION ST, JACKSON, MS 392022442 (Tel: 9017593100)

📍

Updated Business Mailing Address March 10, 2021

Registered at 1400 S GERMANTOWN RD, GERMANTOWN, TN 381382205 (Tel: 9017593100)

✅

NPI Profile Active September 13, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2020

Registered at 7545 AIRWAYS BLVD, SOUTHAVEN, MS 386715806 (Tel: 9017593100)

📍

Updated Business Mailing Address September 13, 2020

Registered at 3973 SWINNEA RD, SOUTHAVEN, MS 386728907 (Tel: 9014093740)

👤

Provider Name / Credentials Updated September 13, 2020

Recorded as JACOB LEE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2020

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 13, 2020

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: 1104431485

Entity Type:

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

Enumeration Date: September 13, 2020

Last Update: March 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1325 E Fortification St

Jackson, MS 392022442

Phone: 9017593100

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.