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JACOB LARSEN PA
NPI 1558730291
Physician Assistant in Twin Falls, ID

Active since September 23, 2015PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
775 POLE LINE RD W STE 103, TWIN FALLS, ID 83301(480) 620-2084 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Larsen Pa NPPES

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

JACOB LARSEN PA (NPI 1558730291) is an individual physician assistant in Twin Falls, Idaho and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558730291
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB LARSENCredential: PA
Location Address775 POLE LINE RD W STE 103Twin Falls, ID 83301-5819
Mailing Address680 Sunrise BlvdTwin Falls, ID 83301-7060 · (480) 620-2084
Phone(480) 620-2084
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 23, 2015
✔ NPI 1558730291 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.
775 POLE LINE RD W STE 103, Twin Falls, ID 83301
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Accepted Insurance

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

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 Larsen Pa 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 ID6608186119
PECOS Enrollment IDI20151113000442
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.

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.
61 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Jerome

Critical Access Hospitals · Jerome, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131310
Location709 North Lincoln AvenueJerome, ID 83338 · Jerome County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

Other Providers at the Same Location NPPES 5

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

EMILY NICOLE MONTAGUE CNP
Nurse Practitioner (Family)
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375
MAVERICK MITTON FNP-C
Nurse Practitioner (Family)
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375
ERIN MABEY PA-C
Physician Assistant
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375
DR. BRUCE E. GOLLUB M.D.
Family Medicine
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375
TOBY CHRISTOPHER ROOD RN, NP-C
Nurse Practitioner (Family)
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375

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 Larsen's NPI number?

The NPI number for Jacob Larsen is 1558730291. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Jacob Larsen located?

Jacob Larsen practices at 775 Pole Line Rd W Ste 103, Twin Falls, ID 83301. The listed phone number is (480) 620-2084.

What is Jacob Larsen's specialty?

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

Is Jacob Larsen enrolled in Medicare?

Yes. Jacob Larsen 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.

What insurance does Jacob Larsen accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jacob Larsen 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.

Is Jacob Larsen affiliated with any hospitals?

According to CMS data, Jacob Larsen is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center and St Luke's Jerome.

When was this NPI record last updated?

The NPPES record for Jacob Larsen was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.