Jacob I. Blazzard , PA-C
Physician Assistant • Clarkston, WA
Professional Overview & Biography Verified Profile Summary
Jacob Blazzard, PA-C is a certified Physician Assistant practicing in Clarkston, WA. With approximately 21 years of clinical experience since completing medical education in 2005, Jacob Blazzard delivers high-quality medical care to the local community at 1433 5TH ST.
Jacob Blazzard is affiliated with Integrated Dermatology Of Clarkston Pllc and accepts Medicare assignment.
Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1433 5th St
Clarkston, WA 994032714
Medicare Profile & Education
Other
2005
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Clarkston, WA
Practicing in Clarkston, WA (3774 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 |
|---|---|---|---|---|
|
17003
Destruction of precancer skin growth, 2-14 growths
|
1,283 | 348 | $15.00 | $5.76 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
602 | 553 | $107.33 | $48.19 |
|
17000
Destruction of skin growth
|
510 | 461 | $127.48 | $49.02 |
|
11102
Tangential biopsy of single skin lesion
|
376 | 358 | $185.00 | $85.61 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
353 | 321 | $170.00 | $77.01 |
|
99202
New patient office or other outpatient visit, typically 20 minutes
|
200 | 200 | $135.00 | $61.48 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
135 | 135 | $206.96 | $94.82 |
|
11103
Biopsy of related skin growth, each additional growth
|
70 | 56 | $95.00 | $42.35 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
48 | 44 | $236.98 | $107.43 |
|
12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
|
47 | 45 | $558.30 | $258.02 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
42 | 42 | $311.43 | $139.10 |
|
11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
|
36 | 33 | $451.94 | $105.06 |
|
69100
Biopsy of ear
|
24 | 23 | $176.88 | $69.99 |
|
17281
Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth
|
17 | 17 | $332.06 | $150.25 |
|
17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
|
17 | 14 | $328.24 | $149.07 |
|
17261
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
|
13 | 12 | $273.08 | $123.22 |
Medical Specialties & State Licenses
CMS Verified: 2026-08-04NUCC 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: 363AM0700X
Definition to come...
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.
NUCC Taxonomy Code: 363AM0700X
Definition to come...
Hospital & Practice Group Affiliations
Integrated Dermatology Of Clarkston Pllc
1433 5th St, Clarkston, WA 994032714
Phone: 5097585141
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dermatology
Doctor of Medicine (M.D.)
Nurse Practitioner
Family Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Dermatology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 4700 EXCHANGE CT STE 110, BOCA RATON, FL 334314450 (Tel: 5619480291)
Physician Assistant (License #PA60099484 in WA)
Registered at 1433 5TH ST, CLARKSTON, WA 994032714 (Tel: 5097585141)
Registered at 901 RACHEL ST, TROY, ID 838716002 (Tel: 2083102777)
Registered at 623 S MAIN ST STE 1, MOSCOW, ID 838432983 (Tel: 2088822011)
Registered at 700 S MAIN ST, MOSCOW, ID 838433046 (Tel: 2088824511)
Physician Assistant (License #PA-1221 in ID)
NPI status registered as active in NPPES database
Registered at 1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 991635423 (Tel: 5093322605)
Registered at 1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 991635423 (Tel: 5093322605)
Recorded as JACOB BLAZZARD, PA-C
Physician Assistant (License #PA60099484 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4700 Exchange Ct Ste 110
Boca Raton, FL 334314450
Phone: 5619480291
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