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Active NPI 1598495855 Individual Practitioner Male Practitioner

Jacob Church , PA

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Church, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 4 years of clinical experience since completing medical education in 2022, Jacob Church delivers high-quality medical care to the local community at 1055 N 500 W STE 121.

Jacob Church is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of foot, minimum of 3 views, x-ray of ankle, 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

1055 N 500 W Ste 121

Provo, UT 846043305

Telephone 0137373508
Fax 8018125401
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Church (4 Years) 4 Yrs
Provo Specialty Average (10.1 Years) 10.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes
61 48 $152.80 $72.91
73630 X-ray of foot, minimum of 3 views
42 23 $97.31 $25.46
73610 X-ray of ankle, minimum of 3 views
28 17 $104.21 $27.56
73600 X-ray of ankle, 2 views
19 15 $91.26 $23.07
73620 X-ray of foot, 2 views
17 16 $84.00 $21.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $216.00 $99.92

Medical Specialties & State Licenses

CMS Verified: 2022-06-10
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.

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8013737350

Secondary Practice Locations

3000 N Triumph Blvd Ste 100

Lehi, UT 840434999

Phone: 8017633885

Practice Associates & Co-Workers

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

27 Associated Practitioners
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Dr. Bradford Matthews , MD

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Doctor of Medicine (M.D.)

Dr. Jeffrey Wallentine , MD

Orthopaedic Surgery

NPI 1124121934

Doctor of Medicine (M.D.)

Dr. Richard Jackson , MD

Orthopaedic Surgery

NPI 1144323163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2022

Registered at 1055 N 500 W STE 121, PROVO, UT 846043305 (Tel: 0137373508)

📍
Updated Business Mailing Address June 10, 2022

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8013548225)

👤
Provider Name / Credentials Updated June 10, 2022

Recorded as JACOB CHURCH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 10, 2022

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: 1598495855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2022
Last Update: June 10, 2022
Sole Proprietor: Yes

Mailing Address

1055 N 500 W

Provo, UT 846043305

Phone: 8013548225

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.