Jacob Fetzer, PA-C
NPI 1235474172 · Physician Assistant · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Fetzer, PA-C is a Physician Assistant provider in Salt Lake City, UT (NPI 1235474172).
Provider details
- NPI number
- 1235474172
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 8421267-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
373 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 72 | $119 |
| Prolonged Office Or Other Outpatient Evaluation and Management Service(s) Beyond the Maximum Required Time of the Primary Procedure Which Has Been Selected Using Total Time on the Date of the Primary Service; Each Additional 15 Minutes By the Physician OrG2212 | 65 | $26 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 62 | $147 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 59 | $14 |
| Prolonged Office Or Other Outpatient Evaluation and Management Service(s) Beyond the Maximum Required Time of the Primary Procedure Which Has Been Selected Using Total Time on the Date of the Primary Service; Each Additional 15 Minutes By the Physician Or |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Spironolactone | 212 | 91 |
| Metoprolol Succinate | 188 | 70 |
| Furosemide | 148 | 64 |
| Losartan Potassium | 135 | 62 |
| Dapagliflozin Propanediolbrand: Farxiga | 116 | 34 |
| Sacubitril/Valsartanbrand: Entresto | 112 | 36 |
| Potassium Chloride |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$48 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-12-04
- Last updated
- 2021-11-09
- Certified
- 2021-11-09
Frequently asked questions
- What is Jacob Fetzer's NPI number?
- Jacob Fetzer's National Provider Identifier (NPI) is 1235474172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Fetzer's specialty?
- Jacob Fetzer is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Fetzer located?
- Jacob Fetzer's practice location on file with NPPES is 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002.
- What is Jacob Fetzer's phone number?
- The practice phone number listed in the NPPES registry for Jacob Fetzer is (801) 585-7676.
- Does Jacob Fetzer accept Medicare?
- Jacob Fetzer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Fetzer's NPI active?
- Yes — Jacob Fetzer's NPI (1235474172) is active in the NPPES registry as of the last update on 2021-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.