Jacob Edward Blumenfeld, PA-C
NPI 1083474936ActiveIndividual· Physician Assistant, Surgical· Greenwood Village, CO
Physician Assistant, Surgical (PA-C) in Greenwood Village, Colorado, trained at Rocky Vista University College of Osteopathic Med (class of 2023). 46 Medicare patients in 2024, $5,749 paid; all of their 51 Part D prescriptions were generic. Centinel Spine, LLC reported $45.10 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1083474936 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Mar 19, 2024 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA.0008462 | CO |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 73 across 23 procedure codes |
| Paid by Medicare | $5,749 |
Part D prescriptions in 2024
| Prescriptions (claims) | 51 · 51 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $287.29 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Rocky Vista University College of Osteopathic Med |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Northbay Physicians Surgery Center, LLCFairfield, CA · 324 clinicians
- Northbay Health Medical FoundationFairfield, CA · 213 clinicians
Hospital affiliations
- Banner North Colorado Medical CenterGreeley, CO
- Northbay Medical CenterFairfield, CA
- Sterling Regional MedcenterSterling, CO
Industry payments (Open Payments)
- 2025$45.10 · 1 payment from 1 company
- 2024$35.57 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Centinel Spine, LLC | $45.10 | 1 |
What the 2025 payments were for
- Food and Beverage$45.10 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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