Jacob David Kastner, D.O.
NPI 1124569413ActiveIndividual· Physical Medicine & Rehabilitation, Sports Medicine· Princeton, MN
Physical Medicine & Rehabilitation, Sports Medicine (D.O.) with Fairview Express Care and 1 other group, practicing in Princeton, Minnesota. 151 Medicare patients in 2024, $37,866 paid; nearly all of their 104 Part D prescriptions were generic (96%). Lists Fairview Northland Regional Hospital as a hospital affiliation.
Overview
| NPI | 1124569413 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Mar 20, 2017 |
| Last updated in NPPES | Jun 4, 2022 |
| Certified by provider | Jun 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Sports Medicine Primary | 2081S0010X | 71921-21 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sports Medicine (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 1,818 across 21 procedure codes |
| Paid by Medicare | $37,866 |
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 106 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $940.98 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Sports Medicine |
| Secondary specialties | Physical Medicine And Rehabilitation |
Medical groups
- Fairview Express CareMinneapolis, MN · 1,911 clinicians
- Fairview Specialty ServicesMaplewood, MN · 306 clinicians
Hospital affiliation
- Fairview Northland Regional HospitalPrinceton, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records