Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073114906 Individual Practitioner Male Practitioner

Jacob A Parks , PA

Physician Assistant • Las Vegas, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Parks, PA is a certified Physician Assistant practicing in Las Vegas, NV. With approximately 6 years of clinical experience since completing medical education in 2020, Jacob Parks delivers high-quality medical care to the local community at 4475 S EASTERN AVE.

Jacob Parks maintains professional affiliations with Sterling Provider Group, Optum Medical Group Ii Rhodes P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

4475 S Eastern Ave

Las Vegas, NV 891197826

Telephone 7028775199
Associated Practice Facility / Clinic

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 Las Vegas, NV

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
501 Specialists

Practicing in Las Vegas, NV (1097 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Parks (6 Years) 6 Yrs
Las Vegas Specialty Average (10.9 Years) 10.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
78 41 $376.13 $104.52
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $266.00 $75.69

Medical Specialties & State Licenses

CMS Verified: 2021-01-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV PA0492

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Sterling Provider Group

5605 Northside Xing, Chubbuck, ID 832022431

Phone: 2085475062

Optum Medical Group Ii Rhodes P C

4475 S Eastern Ave, Las Vegas, NV 891197826

Phone: 7025793253

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003170614

Doctor of Medicine (M.D.)

Dr. Jacki Deguzman , MD

Internal Medicine

NPI 1013206614

Doctor of Medicine (M.D.)

NPI 1023205051

Doctor of Medicine (M.D.)

Dr. Timothy Sugimoto , DO

Internal Medicine

NPI 1033744305

Doctor of Osteopathic Medicine (D.O.)

Royal Bradley , APRN

Nurse Practitioner

NPI 1043769185

Advanced Practice Registered Nurse

Phillip Whittenberg , PA-C

Physician Assistant - Medical

NPI 1053385054

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2021

Physician Assistant (License #PA0492 in NV)

NPI Profile Active November 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2020

Registered at 4475 S EASTERN AVE, LAS VEGAS, NV 891197826 (Tel: 7028775199)

📍
Updated Business Mailing Address November 06, 2020

Registered at PO BOX 35380, LAS VEGAS, NV 891335380 (Tel: 7028775199)

👤
Provider Name / Credentials Updated November 06, 2020

Recorded as JACOB PARKS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 06, 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: 1073114906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2020
Last Update: January 14, 2021
Sole Proprietor: No

Mailing Address

Po Box 35380

Las Vegas, NV 891335380

Phone: 7028775199

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.