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JACOB T NUTTLE PA-C
NPI 1265094031
Physician Assistant in Buffalo, NY

Active since July 02, 2019PECOS Enrolled
565 ABBOTT RD, BUFFALO, NY 14220(716) 826-7000 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob T Nuttle Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB T NUTTLE PA-C (NPI 1265094031) is an individual physician assistant in Buffalo, New York and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265094031
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB T NUTTLECredential: PA-C
Location Address565 ABBOTT RDBuffalo, NY 14220-2039
Mailing Address2291 W Blood RdEast Aurora, NY 14052-1121 · (716) 860-4304
Phone(716) 826-7000
Sole ProprietorNo
Enumeration DateJuly 2, 2019
✔ NPI 1265094031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
565 ABBOTT RD, Buffalo, NY 14220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob T Nuttle Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
164 services160 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services49 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN ELIZABETH URBAN PHARM.D
Pharmacist
565 ABBOTT RD
BUFFALO, NY 14220
Erie County (716) 826-7000
DEBORAH MARIE GIERMEK RN
Registered Nurse
565 ABBOTT RD
BUFFALO, NY 14220
Erie County (716) 826-7000
CATHERINE ELAINE ALMETER PA
Physician Assistant
565 ABBOTT RD
BUFFALO, NY 14220
Erie County (716) 826-7000
CHRISTOPHER DAMELIO
Nurse Practitioner
565 ABBOTT RD
BUFFALO, NY 14220
Erie County (716) 826-7000
MARY L NOLAN PA
Physician Assistant
565 ABBOTT RD, @ MERCY HOSPITAL OF BUFFALO
BUFFALO, NY 14220
Erie County (518) 383-5450
CATHOLIC HEALTH SYSTEM
Student in an Organized Health Care Education/Training Program
565 ABBOTT RD
BUFFALO, NY 14220
Erie County (716) 828-2557
JULIE PONCE NP
Nurse Practitioner (Adult Health)
565 ABBOTT RD
BUFFALO, NY 14220
Erie County (716) 826-7000
ANTHONY VINCENT STOCKUS P.A.
Physician Assistant (Medical)
565 ABBOTT RD
BUFFALO, NY 14220
Erie County (716) 828-2055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Nuttle's NPI number?

The NPI number for Jacob Nuttle is 1265094031. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Jacob Nuttle located?

Jacob Nuttle practices at 565 Abbott Rd, Buffalo, NY 14220. The listed phone number is (716) 826-7000.

What is Jacob Nuttle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Nuttle enrolled in Medicare?

Yes. Jacob Nuttle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Nuttle was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.