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JACOB LAMAR PUGH PA-C
NPI 1396227146
Physician Assistant in Santa Clara, UT

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
2432 CONCORD AVE, SANTA CLARA, UT 84765(435) 429-0944 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2020, Mar 18, 2020, Aug 29, 2018 (3 updates tracked since 2018).

About Jacob Lamar Pugh Pa-c NPPES

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

JACOB LAMAR PUGH PA-C (NPI 1396227146) is an individual physician assistant in Santa Clara, Utah, licensed in Utah (10959210-1206) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396227146
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB LAMAR PUGHCredential: PA-C
Location Address2432 CONCORD AVESanta Clara, UT 84765-5621
Mailing Address2432 Concord AveSanta Clara, UT 84765-5621 · (435) 429-0944
Phone(435) 429-0944
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 29, 2018
Last NPPES UpdateNovember 16, 20203 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1396227146 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 UT · 10959210-1206
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.
2432 CONCORD AVE, Santa Clara, UT 84765
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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 and accepts Medicare assignment

Jacob Lamar Pugh Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062763790
PECOS Enrollment IDI20220315001206
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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,115 services163 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
888 services185 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
709 services176 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
526 services245 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
428 services309 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
104 services104 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84765 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

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

IN HOME PROVIDER
Family Medicine
2432 CONCORD AVE
SANTA CLARA, UT 84765
Washington County (435) 659-7352

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 Pugh's NPI number?

The NPI number for Jacob Pugh is 1396227146. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Jacob Pugh located?

Jacob Pugh practices at 2432 Concord Ave, Santa Clara, UT 84765. The listed phone number is (435) 429-0944.

What is Jacob Pugh's specialty?

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

Is Jacob Pugh enrolled in Medicare?

Yes. Jacob Pugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob Pugh affiliated with any hospitals?

According to CMS data, Jacob Pugh is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Pugh was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.