Doctor profile · Federal record
Dr. Jacob Sandefur, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · La Grande, OR
- NPI 1770212417
- Accepts Medicare
- MIPS 70.2 / 100 · 2023
- 4 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
900 Sunset Dr
La Grande, OR 978501387
(541) 963-8421 - Mailing address
-
2302 E N CT
La Grande, OR 978503858
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Profile last updated
- September 23, 2022
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Oregon #202214569CRNAPP · Tennessee #239503
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770212417. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
13
Distinct HCPCS
1
Medicare allowed
$3,524
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
01402 |
Anesthesia for procedure for total knee joint replacement | 13 | 12 | $271 |
In context: peer comparison
Among 1 peers in La Grande Certified Registered Nurse Anesthetist, average services per provider: 13. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Jacob Sandefur's medical specialty?
Dr. Jacob Sandefur practices Certified Registered Nurse Anesthetist in La Grande, OR.
Where does Dr. Jacob Sandefur practice?
Dr. Jacob Sandefur practices at 900 Sunset Dr, La Grande, OR 978501387. Office phone: 5419638421.
What is Dr. Jacob Sandefur's NPI?
Dr. Jacob Sandefur's National Provider Identifier (NPI) is 1770212417, issued by NPPES.
Does Dr. Jacob Sandefur accept Medicare assignment?
Yes. Dr. Jacob Sandefur accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Sandefur commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for procedure for total knee joint replacement (HCPCS 01402). Source: CMS Medicare Physician & Other Practitioners file.