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JACOB VIAL PA-C
NPI 1275253643
Physician Assistant in Rexburg, ID

Active since August 29, 2022PECOS Enrolled
525 S CENTER ST, REXBURG, ID 83460(406) 595-1515 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jacob Vial Pa-c NPPES

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

JACOB VIAL PA-C (NPI 1275253643) is an individual physician assistant in Rexburg, Idaho, licensed in Idaho (PA-2557) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275253643
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB VIALCredential: PA-C
Location Address525 S CENTER STRexburg, ID 83460-0004
Mailing Address651 S 2400 W Unit 11102Rexburg, ID 83440-5484 · (406) 595-1515
Phone(406) 595-1515
Sole ProprietorYes
Enumeration DateAugust 29, 2022
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1275253643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-2557
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.
525 S CENTER ST, Rexburg, ID 83460
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

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 Vial 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83460 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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 Vial's NPI number?

The NPI number for Jacob Vial is 1275253643. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Jacob Vial located?

Jacob Vial practices at 525 S Center St, Rexburg, ID 83460. The listed phone number is (406) 595-1515.

What is Jacob Vial's specialty?

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

Is Jacob Vial enrolled in Medicare?

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

What insurance does Jacob Vial accept?

Health plans from Moda Health Plan, Inc. and Select Health list Jacob Vial as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Vial was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.