Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396227146 Individual Practitioner Male Practitioner

Jacob Lamar Pugh , PA-C

Physician Assistant • Santa Clara, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Pugh, PA-C is a certified Physician Assistant practicing in Santa Clara, UT. With approximately 8 years of clinical experience since completing medical education in 2018, Jacob Pugh delivers high-quality medical care to the local community at 2432 CONCORD AVE.

Jacob Pugh is affiliated with Aems and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection, ceftriaxone sodium, per 250 mg, injection, ketorolac tromethamine, per 15 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2432 Concord Ave

Santa Clara, UT 847655621

Telephone 4354290944
Associated Practice Facility / Clinic
🏢 In Home Provider Facility NPI 1871131623

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 Santa Clara, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs +3.7 yrs vs City Avg
City Avg: 4.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Santa Clara, UT (1904 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pugh (8 Years) 8 Yrs
Santa Clara Specialty Average (4.3 Years) 4.3 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg
2,115 163 $1.00 $0.11
J0696 Injection, ceftriaxone sodium, per 250 mg
888 185 $15.00 $0.46
J1885 Injection, ketorolac tromethamine, per 15 mg
709 176 $20.00 $0.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
526 245 $40.00 $11.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
428 309 $194.00 $106.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
104 104 $269.00 $139.05
99213 Established patient office or other outpatient visit, typically 15 minutes
84 71 $139.00 $75.59
81003 Automated urinalysis test
59 55 $5.00 $2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $177.00 $92.60
36415 Insertion of needle into vein for collection of blood sample
20 17 $5.00 $4.90

Medical Specialties & State Licenses

CMS Verified: 2020-11-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 10959210-1206

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

Aems

2511 Mountain City Hwy, Elko, NV 898014496

Phone: 7759932800

Aems

250 Country Club Pkwy, Spring Creek, NV 898155830

Aems

250 Country Club Pkwy, Spring Creek, NV 898155830

Phone: 7757383000

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 16, 2020

Registered at 2432 CONCORD AVE, SANTA CLARA, UT 847655621 (Tel: 4354290944)

📍
Updated Business Mailing Address November 16, 2020

Registered at 2432 CONCORD AVE, SANTA CLARA, UT 847655621 (Tel: 4354290944)

👤
Provider Name / Credentials Updated November 16, 2020

Recorded as JACOB PUGH, PA-C

NPI Profile Active August 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2018

Registered at 5640 S 3500 W, ROY, UT 840679158 (Tel: 8017732838)

📍
Updated Business Mailing Address August 29, 2018

Registered at 1055 NORTH 500 WEST, ATTN: CREDENTIALING, PROV, UT 846043305 (Tel: 8013548225)

👤
Provider Name / Credentials Updated August 29, 2018

Recorded as JACOB PUGH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2018

Physician Assistant (License #10959210-1206 in UT)

🟢
Initial NPI Registration & Enumeration August 29, 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: 1396227146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2018
Last Update: November 16, 2020
Sole Proprietor: No

Mailing Address

2432 Concord Ave

Santa Clara, UT 847655621

Phone: 4354290944

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.