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Jacob Cole Lee, PA-C

NPI 1104431485ActiveIndividual· Physician Assistant· Jackson, MS

Physician Assistant (PA-C) with Mississippi Sports Medicine and Orthopaedic Center, practicing in Jackson, Mississippi. 608 Medicare patients in 2024, $79,328 paid; nearly all of their 710 Part D prescriptions were generic (99%). Lists Mississippi Baptist Medical Center and 1 other hospital as hospital affiliations. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.

Overview

NPI1104431485
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 13, 2020
Last updated in NPPESMar 13, 2025
Certified by providerMar 13, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

Possible match: verify before acting. The OIG list has a record with the same name in Mississippi, but that record carries no NPI, so it may be a different person or business.

Matched byName on OIG listExclusion typeExcluded sinceLocation
Name + stateJacob David Lee · Nurse/Nurses Aide1128a3Aug 20, 2014Forest, MS
ListResultDetails
HHS-OIG LEIE · Oct 9, 2026Possible (name)See above
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients608
Services billed2,792 across 79 procedure codes
Paid by Medicare$79,328

Part D prescriptions in 2024

Prescriptions (claims)710 · 726 30-day fills
Patients411
Total drug cost$4,356
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Jackson

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