Shane Saji Jacob , PA
Physician Assistant • Elmhurst, NY
Professional Overview & Biography Verified Profile Summary
Shane Jacob, PA is a certified Physician Assistant practicing in Elmhurst, NY. With approximately 6 years of clinical experience since completing medical education in 2020, Shane Jacob delivers high-quality medical care to the local community at 7901 BROADWAY.
Shane Jacob is affiliated with Divinity Medical Services Pllc and accepts Medicare assignment.
Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
7901 Broadway
Elmhurst, NY 113731329
Medicare Profile & Education
Other
2020
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Elmhurst, NY
Practicing in Elmhurst, NY (15701 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
334 | 281 | $210.85 | $87.72 |
|
87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
|
236 | 222 | $82.76 | $40.03 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
184 | 92 | $49.84 | $15.87 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
107 | 105 | $220.00 | $122.39 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
62 | 62 | $211.61 | $108.40 |
|
81003
Automated urinalysis test
|
32 | 28 | $4.62 | $2.20 |
|
87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
|
32 | 31 | $33.94 | $15.69 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
28 | 28 | $291.06 | $161.97 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
14 | 14 | $30.75 | $14.08 |
|
87807
Detection test by immunoassay with direct visual observation for respiratory syncytial virus
|
12 | 12 | $17.99 | $12.84 |
Medical Specialties & State Licenses
CMS Verified: 2021-02-26NUCC 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.
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.
Hospital & Practice Group Affiliations
Divinity Medical Services Pllc
3379 Crompond Rd, Yorktown Heights, NY 105983605
Phone: 9149305550
Divinity Medical Services Pllc
2128 Rockaway Pkwy, Brooklyn, NY 112365802
Phone: 7184898820
Divinity Medical Services Pllc
1585 Dutch Broadway, Valley Stream, NY 115801333
Phone: 5164906300
Divinity Medical Services Pllc
464 Atlantic Ave, East Rockaway, NY 115181415
Phone: 5167303344
Divinity Medical Services Pllc
3400 Boston Rd, Bronx, NY 104692502
Phone: 7182908787
Divinity Medical Services Pllc
23315 Hillside Ave, Queens Village, NY 114272634
Phone: 7182101945
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.)
Physician Assistant
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 7901 BROADWAY, ELMHURST, NY 113731329 (Tel: 7183342480)
Registered at 7901 BROADWAY, ELMHURST, NY 113731329 (Tel: 7183342480)
Registered at 5707 S CASS AVE, WESTMONT, IL 605594800 (Tel: 0000000000)
NPI status registered as active in NPPES database
Registered at 18W194 CLAREMONT DR, DARIEN, IL 605613640 (Tel: 6305060983)
Registered at 18W194 CLAREMONT DR, DARIEN, IL 605613640 (Tel: 6305060983)
Recorded as SHANE JACOB, PA
Physician Assistant
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
Mailing Address
7901 Broadway
Elmhurst, NY 113731329
Phone: 7183342480
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