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JACOB ALBERT WOOTEN PA-C
NPI 1629648209
Physician Assistant in Lynchburg, VA

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
162 MALLARD LN, LYNCHBURG, VA 24502(434) 420-1816 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2021, Jun 28, 2021 (2 updates tracked since 2021).

About Jacob Albert Wooten Pa-c NPPES

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

JACOB ALBERT WOOTEN PA-C (NPI 1629648209) is an individual physician assistant in Lynchburg, Virginia, licensed in Virginia (0110008161) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629648209
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB ALBERT WOOTENCredential: PA-C
Location Address162 MALLARD LNLynchburg, VA 24502-1154
Mailing Address162 Mallard LnLynchburg, VA 24502-1154 · (434) 420-1816
Phone(434) 420-1816
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 28, 2021
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1629648209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110008161
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
162 MALLARD LN, Lynchburg, VA 24502
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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 Albert Wooten 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 ID3577952241
PECOS Enrollment IDI20211118000874
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services53 patients

Hospital Affiliations CMS Care Compare

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24502 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

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 Wooten's NPI number?

The NPI number for Jacob Wooten is 1629648209. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Jacob Wooten located?

Jacob Wooten practices at 162 Mallard Ln, Lynchburg, VA 24502. The listed phone number is (434) 420-1816.

What is Jacob Wooten's specialty?

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

Is Jacob Wooten enrolled in Medicare?

Yes. Jacob Wooten 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 Wooten affiliated with any hospitals?

According to CMS data, Jacob Wooten is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Wooten was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.