Doctor profile · Federal record

Dr. Jorgan Jacobsen, PA-C

Surgical Physician Assistant (CMS: Physician Assistant) · Otolaryngology Physician · Salt Lake City, UT

  • NPI 1871074310
  • Accepts Medicare
  • MIPS 92.1 / 100 · 2023
  • 8 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
50 N Medical Dr
Salt Lake City, UT 841320001
(801) 587-8368

Credentials & registration

NPPES · NUCC
NPI registered
August 2018 — 8 yrs on file
Profile last updated
October 21, 2021
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
363AS0400X — NUCC code
State license (1)
Utah #10948626-1206

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1871074310. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
644
Distinct HCPCS
8
Medicare allowed
$30,419
HCPCS Description Services Patients Avg allowed
92504 Exam of ear using a microscope 148 136 $8
69210 Removal of impacted ear wax 133 113 $26
99203 New patient office or other outpatient visit, 30-44 minutes 112 112 $69
99213 Established patient office or other outpatient visit, 20-29 minutes 86 78 $55
99204 New patient office or other outpatient visit, 45-59 minutes 60 60 $108
99214 Established patient office or other outpatient visit, 30-39 minutes 52 50 $80
31231 Diagnostic exam of nasal passages using an endoscope 34 34 $52
31575 Diagnostic exam of voice box using a flexible endoscope 19 19 $56

In context: peer comparison

Among 17 peers in this city , average services per provider: 60. This provider delivers 11× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
85
Patients
32
Total drug cost
$3,390
Drug Type Claims Patients Total cost
Fluticasone Propionate Generic 39 16 $467
Triamterene-Hydrochlorothiazid (Triamterene/Hydrochlorothiazid) Brand 30 0 $216
Ciprofloxacin-Dexamethasone (Ciprofloxacin Hcl/Dexameth) Brand 16 16 $2,707

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jorgan Jacobsen's medical specialty?
Dr. Jorgan Jacobsen practices Surgical Physician Assistant in Salt Lake City, UT.
Where does Dr. Jorgan Jacobsen practice?
Dr. Jorgan Jacobsen practices at 50 N Medical Dr, Salt Lake City, UT 841320001. Office phone: 8015878368.
What is Dr. Jorgan Jacobsen's NPI?
Dr. Jorgan Jacobsen's National Provider Identifier (NPI) is 1871074310, issued by NPPES.
Does Dr. Jorgan Jacobsen accept Medicare assignment?
Yes. Dr. Jorgan Jacobsen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jorgan Jacobsen commonly perform?
Top Medicare-reported procedures in 2023: Exam of ear using a microscope (HCPCS 92504); Removal of impacted ear wax (HCPCS 69210); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.