Doctor profile · Federal record
Dr. Jake Fagan, MD
Mohs-Micrographic Surgery Physician (CMS: Micrographic Dermatologic Surgery (MDS)) · Dermatology Physician · Mohs-Micrographic Surgery Physician · Mohs-Micrographic Surgery Physician · Surgical Oncology Physician · Student in an Organized Health Care Education/Training Program · Provo, UT
- NPI 1548688989
- Accepts Medicare
- MIPS 92.8 / 100 · 2023
- 12 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1055 N 500 W # 111
Provo, UT 846043305
(801) 374-8999 - Additional location
-
801 N 29Th St
Billings, MT 591010905
(406) 238-2500 - Mailing address
-
1055 N 500 W, Att Credentialing
Provo, UT 84604
Credentials & registration
- NPI registered
- April 2014 — 12 yrs on file
- Profile last updated
- April 17, 2024
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207ND0101X — NUCC code
- State licenses (3)
- Utah #6845592-1205 · Montana #MED-PHYS-LIC-76211 · Montana #76211
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548688989. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,487
Distinct HCPCS
10
Medicare allowed
$396,670
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17311 |
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 518 | 414 | $294 | |
17312 |
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 318 | 194 | $186 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 155 | 132 | $65 | |
17003 |
Destruction of precancer skin growth, 2-14 growths | 109 | 36 | $7 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 101 | 94 | $89 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 100 | 99 | $82 | |
11102 |
Biopsy of related skin growth, first growth | 90 | 87 | $27 | |
17000 |
Destruction of precancer skin growth, 1 growth | 77 | 69 | $42 | |
12052 |
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 76 | 72 | $100 | |
17003 |
Destruction of precancer skin growth, 2-14 growths | 74 | 27 | $2 |
In context: peer comparison
Among 1 peers in Provo Mohs-Micrographic Surgery Physician, average services per provider: 69. This provider delivers 36× the peer median.Open Payments
Industry payments received
All-time total
$123
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 3 | $63.91 | |
| Regeneron Healthcare Solutions, INC. | 1 | $21.21 | |
| Ucb, INC. | 1 | $19.67 | |
| Janssen Biotech, INC. | 1 | $18.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
213
Patients
187
Total drug cost
$3,154
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 116 | 107 | $671 |
| Triamcinolone Acetonide | Generic | 38 | 29 | $439 |
| Doxycycline Monohydrate | Generic | 28 | 25 | $647 |
| Mupirocin | Generic | 19 | 15 | $191 |
| Fluorouracil | Generic | 12 | 11 | $1,206 |
Frequently asked questions
What is Dr. Jake Fagan's medical specialty?
Dr. Jake Fagan practices Mohs-Micrographic Surgery Physician in Provo, UT.
Where does Dr. Jake Fagan practice?
Dr. Jake Fagan practices at 1055 N 500 W # 111, Provo, UT 846043305. Office phone: 8013748999.
What is Dr. Jake Fagan's NPI?
Dr. Jake Fagan's National Provider Identifier (NPI) is 1548688989, issued by NPPES.
Does Dr. Jake Fagan accept Medicare assignment?
Yes. Dr. Jake Fagan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jake Fagan commonly perform?
Top Medicare-reported procedures in 2023: Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS 17311); Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS 17312); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.