Doctor profile · Federal record
Dr. Michael Jacketta, MPT, OCS
Physical Therapist (CMS: Physical Therapist in Private Practice) · Evanston, WY
- NPI 1134131055
- Accepts Medicare
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
620 West Cheyenne Drive
Evanston, WY 829305359
(307) 789-8860
fax (307) 789-8394
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Wyoming #840
- Medicaid
- WY #117012100 118279000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134131055. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,963
Distinct HCPCS
3
Medicare allowed
$97,658
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 3,275 | 56 | $24 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 640 | 49 | $21 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 48 | 43 | $101 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 668. This provider delivers 5.9× the peer median.Frequently asked questions
What is Dr. Michael Jacketta's medical specialty?
Dr. Michael Jacketta practices Physical Therapist in Evanston, WY.
Where does Dr. Michael Jacketta practice?
Dr. Michael Jacketta practices at 620 West Cheyenne Drive, Evanston, WY 829305359. Office phone: 3077898860.
What is Dr. Michael Jacketta's NPI?
Dr. Michael Jacketta's National Provider Identifier (NPI) is 1134131055, issued by NPPES.
Does Dr. Michael Jacketta accept Medicare assignment?
Yes. Dr. Michael Jacketta accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Jacketta commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Evaluation for physical therapy, typically 20 minutes (HCPCS 97161). Source: CMS Medicare Physician & Other Practitioners file.