Provider Profile
Listed in the NPI registry as a physician assistant, Jacob C. Fetzer, PA-C practices in Salt Lake City, UT. According to Medicare claims data, Jacob cared for 275 Medicare patients across 373 services. The services billed most often include established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or, and established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Source: NPPES NPI Registry
30 N 1900 E RM 4A100
Salt Lake City, UT 84132
373 services · 275 patients · 6 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
72 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | Billing code | G2212 |
65 |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
62 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
59 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | Billing code | G2212 |
58 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
57 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Jacob C. Fetzer is a physician assistant in Salt Lake City, UT. That is the designation recorded for this NPI in the federal registry.
NPI registry
Jacob C. Fetzer is listed at 30 N 1900 E Rm 4A100, Salt Lake City, UT 84132. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (801) 585-7676. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Jacob C. Fetzer's National Provider Identifier is 1235474172. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Jacob C. Fetzer attended Other, graduating in 2012. This comes from the CMS National Downloadable File.
CMS public data
Jacob C. Fetzer has 14 years experience. Calculated from a graduation year of 2012, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Jacob C. Fetzer the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Jacob C. Fetzer. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.