Jacob Bottelberghe
NPI 1346894748ActiveIndividual· Physician Assistant· Marshall, MN
Physician Assistant with Avera Marshall, practicing in Marshall, Minnesota. 11 Medicare patients in 2024, $994.85 paid; nearly all of their 52 Part D prescriptions were generic (98%). Stryker Corporation reported $1,084 in payments in 2025, mostly food and beverage. Lists Avera Marshall Regional Medical Ctr as a hospital affiliation.
Overview
| NPI | 1346894748 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 25, 2019 |
| Last updated in NPPES | Jul 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 14 across 6 procedure codes |
| Paid by Medicare | $994.85 |
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 52 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $770.27 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Avera MarshallMarshall, MN · 99 clinicians
Hospital affiliation
- Avera Marshall Regional Medical CtrMarshall, MN
Industry payments (Open Payments)
- 2025$1,084 · 27 payments from 1 company
- 2024$208.81 · 6 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $1,084 | 27 |
What the 2025 payments were for
- Food and Beverage$1,084 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Marshall
- 1629707849
- 1841604063
- 1013436450
- 1821351255
- 1013647080
- 1982630828
- 1649246950
- 1396712758