Doctor profile · Federal record

Dr. Michael Jacob, PA-C

Physician Assistant · Sports Medicine (Orthopaedic Surgery) Physician · Plymouth, MN

  • NPI 1821502154
  • Accepts Medicare
  • MIPS 83.5 / 100 · 2023
  • 9 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2855 Campus Dr
Plymouth, MN 554412649
(763) 577-7000
Additional location
800 E 28Th St
Minneapolis, MN 554073723
(612) 863-4000
Mailing address
5600 Camerata Way Unit 221
St Louis Park, MN 554165285

Credentials & registration

NPPES · NUCC
NPI registered
November 2017 — 9 yrs on file
Profile last updated
March 11, 2021
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Minnesota #12593 · Minnesota #12595

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1821502154. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
197
Distinct HCPCS
4
Medicare allowed
$5,348
HCPCS Description Services Patients Avg allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 148 15 $1
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance 21 15 $89
99214 Established patient office or other outpatient visit, 30-39 minutes 15 12 $101
99204 New patient office or other outpatient visit, 45-59 minutes 13 13 $138

In context: peer comparison

Among 19 peers in this city , average services per provider: 58. This provider delivers 3.4× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
60
Patients
31
Total drug cost
$390
Drug Type Claims Patients Total cost
Meloxicam Generic 22 16 $94
Ondansetron Odt (Ondansetron) Brand 16 15 $196
Hydroxyzine Pamoate Generic 11 0 $40
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 11 0 $60

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Jacob's medical specialty?
Dr. Michael Jacob practices Physician Assistant in Plymouth, MN.
Where does Dr. Michael Jacob practice?
Dr. Michael Jacob practices at 2855 Campus Dr, Plymouth, MN 554412649. Office phone: 7635777000.
What is Dr. Michael Jacob's NPI?
Dr. Michael Jacob's National Provider Identifier (NPI) is 1821502154, issued by NPPES.
Does Dr. Michael Jacob accept Medicare assignment?
Yes. Dr. Michael Jacob accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Jacob commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS 20611); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.