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Jacob Shane Tebbs, PA-C

NPI 1154870251ActiveIndividual· Physician Assistant, Medical· Boise, ID

Physician Assistant, Medical (PA-C) with High Valley Dermatology and Dermatologic Surgery PLLC, practicing in Boise, Idaho. 475 Medicare patients in 2024, $68,756 paid; nearly all of their 482 Part D prescriptions were generic (97%). Janssen Biotech, Inc. was the largest of 9 companies reporting payments in 2025, $775.77 in all, mostly food and beverage.

Overview

NPI1154870251
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 29, 2016
Last updated in NPPESAug 7, 2020
Certified by providerAug 7, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X10103875-1206UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (ID); Practitioner - Physician Assistant (WY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients475
Services billed2,299 across 53 procedure codes
Paid by Medicare$68,756

Part D prescriptions in 2024

Prescriptions (claims)482 · 524 30-day fills
Patients242
Total drug cost$86,365
Generic share97% of claims

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$775.77 · 36 payments from 9 companies
  • 2024$905.37 · 50 payments from 11 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$623.14 · 33 payments
  • Education$152.63 · 3 payments

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

Other physician assistants in Boise

All 92 physician assistants in Boise · All physician assistants in Idaho