Doctor profile · Federal record
Dr. Jacob Tisevich, PA
Physician Assistant · Bozeman, MT
- NPI 1811508914
- Accepts Medicare
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3400 Laramie Dr
Bozeman, MT 597182005
(406) 587-0122
fax (844) 656-2480
Credentials & registration
- NPI registered
- August 2020 — 6 yrs on file
- Profile last updated
- December 24, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Ohio #50.006640RX
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811508914. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
53
Distinct HCPCS
2
Medicare allowed
$7,229
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
23472 |
Prosthetic repair of shoulder joint, total shoulder | 34 | 34 | $185 | |
23430 |
Anchoring of biceps tendon | 19 | 19 | $49 |
In context: peer comparison
Among 27 peers in this city , average services per provider: 129. This provider delivers 0.4× the peer median.Open Payments
Industry payments received
All-time total
$379
Transactions
7
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BIOTISSUE HOLDINGS INC. | 6 | $350.23 | |
| Legacy Ortho LLC | 1 | $28.49 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
201
Patients
140
Total drug cost
$1,844
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 123 | 90 | $1,323 |
| Tramadol Hcl | Generic | 47 | 28 | $148 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 31 | 22 | $373 |
Hospital affiliations
Frequently asked questions
What is Dr. Jacob Tisevich's medical specialty?
Dr. Jacob Tisevich practices Physician Assistant in Bozeman, MT.
Where does Dr. Jacob Tisevich practice?
Dr. Jacob Tisevich practices at 3400 Laramie Dr, Bozeman, MT 597182005. Office phone: 4065870122.
What is Dr. Jacob Tisevich's NPI?
Dr. Jacob Tisevich's National Provider Identifier (NPI) is 1811508914, issued by NPPES.
Does Dr. Jacob Tisevich accept Medicare assignment?
Yes. Dr. Jacob Tisevich accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Tisevich commonly perform?
Top Medicare-reported procedures in 2023: Prosthetic repair of shoulder joint, total shoulder (HCPCS 23472); Anchoring of biceps tendon (HCPCS 23430). Source: CMS Medicare Physician & Other Practitioners file.