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Active NPI 1104301852 Individual Practitioner Male Practitioner

Jacob Daniel Ethridge , PA

Physician Assistant • San Antonio, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Ethridge, PA is a certified Physician Assistant practicing in San Antonio, TX. With approximately 8 years of clinical experience since completing medical education in 2018, Jacob Ethridge delivers high-quality medical care to the local community at 1150 N LOOP 1604 W STE 150.

Jacob Ethridge is affiliated with Nluc Pllc 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 from large joint, 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

1150 N Loop 1604 W Ste 150

San Antonio, TX 782484505

Telephone 2817838162
Fax 7134397995
Associated Practice Facility / Clinic
🏢 Nluc Pllc Facility NPI 1053068254

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in San Antonio, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
888 Specialists

Practicing in San Antonio, TX (11140 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ethridge (8 Years) 8 Yrs
San Antonio Specialty Average (11.2 Years) 11.2 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
418 72 $3.75 $1.14
20610 Aspiration and/or injection of fluid from large joint
157 99 $162.00 $58.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
114 96 $212.86 $103.76
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
91 40 $350.00 $130.87
99213 Established patient office or other outpatient visit, typically 15 minutes
56 50 $150.16 $73.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
36 36 $354.22 $135.69
73562 X-ray of knee, 3 views
26 22 $90.38 $31.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
14 14 $286.22 $138.28
73030 X-ray of shoulder, minimum of 2 views
13 13 $78.00 $28.70

Medical Specialties & State Licenses

CMS Verified: 2022-06-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA12348

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX TEMPORARY

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

Nluc Pllc

16312 Southwest Fwy, Sugar Land, TX 774792371

Phone: 2817838162

Nluc Pllc

1150 N Loop 1604, San Antonio, TX 782484505

Phone: 2817838162

Nluc Pllc

1246 N Fm 3083 Rd W, Conroe, TX 773045340

Phone: 2817838162

Secondary Practice Locations

10423 State Highway 151 Ste 101

San Antonio, TX 782514768

Phone: 2103419614

5282 Medical Dr Ste 250

San Antonio, TX 782296039

Phone: 2103419614

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jennifer Hadash , FNP-C

Nurse Practitioner

NPI 1023668779

Family Nurse Practitioner (Certified)

Crystal Poungsangchaun , FNP

Nurse Practitioner - Family

NPI 1043859424

Family Nurse Practitioner

Julian Davila , NP-C

Nurse Practitioner

NPI 1043987837

Nurse Practitioner (Certified)

Candice Hessel , FNP-C

Nurse Practitioner

NPI 1053781898

Family Nurse Practitioner (Certified)

William Dewease , FNP

Nurse Practitioner

NPI 1063046746

Family Nurse Practitioner

Ashley Hollins Pearson , FNP-BC

Nurse Practitioner - Family

NPI 1063855476

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 29, 2022

Registered at 1150 N LOOP 1604 W STE 150, SAN ANTONIO, TX 782484505 (Tel: 2817838162)

📍
Updated Business Mailing Address June 29, 2022

Registered at 2925 BRIARPARK DR STE 575, HOUSTON, TX 770423776 (Tel: 8326262842)

NPI Profile Active September 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2018

Registered at 5282 MEDICAL DR STE 250, SAN ANTONIO, TX 782296039 (Tel: 2103419614)

📍
Updated Business Mailing Address September 28, 2018

Registered at 5282 MEDICAL DR STE 250, SAN ANTONIO, TX 782296039 (Tel: 2103419614)

👤
Provider Name / Credentials Updated September 28, 2018

Recorded as JACOB ETHRIDGE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2018

Physician Assistant (License #TEMPORARY in TX)

🟢
Initial NPI Registration & Enumeration September 28, 2018

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: 1104301852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2018
Last Update: June 29, 2022
Sole Proprietor: No

Mailing Address

2925 Briarpark Dr Ste 575

Houston, TX 770423776

Phone: 8326262842

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.