Doctor profile · Federal record
Dr. Jacob Fetzer, PA-C
Physician Assistant · Salt Lake City, UT
- NPI 1235474172
- Accepts Medicare
- MIPS 92.1 / 100 · 2023
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
30 N 1900 E Rm 4A100
Salt Lake City, UT 841320002
(801) 585-7676 - Mailing address
-
762 E 500 S
Salt Lake City, UT 841022906
Credentials & registration
- NPI registered
- December 2012 — 14 yrs on file
- Profile last updated
- November 9, 2021
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Utah #8421267-1206
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235474172. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
402
Distinct HCPCS
4
Medicare allowed
$36,063
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 127 | 96 | $118 | |
G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 103 | 15 | $25 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 99 | 38 | $99 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 73 | 53 | $119 |
In context: peer comparison
Among 98 peers in Salt Lake City Physician Assistant, average services per provider: 122. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$48
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 1 | $48.29 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,475
Patients
621
Total drug cost
$354,127
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Spironolactone | Generic | 210 | 92 | $2,123 |
| Metoprolol Succinate | Generic | 182 | 78 | $4,241 |
| Entresto (Sacubitril/Valsartan) | Brand | 138 | 44 | $147,040 |
| Losartan Potassium | Generic | 131 | 55 | $1,273 |
| Carvedilol | Generic | 123 | 49 | $1,480 |
| Furosemide | Generic | 105 | 55 | $989 |
| Potassium Chloride | Generic | 99 | 55 | $4,857 |
| Atorvastatin Calcium | Generic | 98 | 40 | $1,466 |
| Lisinopril | Generic | 81 | 34 | $488 |
| Farxiga (Dapagliflozin Propanediol) | Brand | 78 | 30 | $83,887 |
Hospital affiliations
Frequently asked questions
What is Dr. Jacob Fetzer's medical specialty?
Dr. Jacob Fetzer practices Physician Assistant in Salt Lake City, UT.
Where does Dr. Jacob Fetzer practice?
Dr. Jacob Fetzer practices at 30 N 1900 E Rm 4A100, Salt Lake City, UT 841320002. Office phone: 8015857676.
What is Dr. Jacob Fetzer's NPI?
Dr. Jacob Fetzer's National Provider Identifier (NPI) is 1235474172, issued by NPPES.
Does Dr. Jacob Fetzer accept Medicare assignment?
Yes. Dr. Jacob Fetzer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Fetzer commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th (HCPCS G0316); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.