Timothy Daniel Jacobsen, PA-C
NPI 1063297372ActiveIndividual· Physician Assistant· Richland, WA
Physician Assistant (PA-C) in Richland, Washington, trained at University of Michigan Medical School (class of 2023). 24 Medicare patients in 2024, $2,057 paid; all of their 56 Part D prescriptions were generic. Avita Medical Americas, LLC reported $121.11 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1063297372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 28, 2023 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA61470203 | WA |
| Physician Assistant | 363A00000X | — | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 26 across 20 procedure codes |
| Paid by Medicare | $2,057 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 58 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $264.55 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- Kadlec Regional Medical CenterKennewick, WA · 414 clinicians
Hospital affiliation
- Kadlec Regional Medical CenterRichland, WA
Industry payments (Open Payments)
- 2024$121.11 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Avita Medical Americas, LLC | $121.11 | 1 |
What the 2024 payments were for
- Food and Beverage$121.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Richland
- 1013554526
- 1023004033
- 1023314820
- 1043979420
- 1134587942
- 1225341472
- 1245060953
- 1255111647
- 1265107502
- 1275097438
- 1295015527
- 1295403715
All 83 physician assistants in Richland · All physician assistants in Washington