Jared Glen Jackman, PA-C
NPI 1366994311ActiveIndividual· Physician Assistant· Richfield, UT
Physician Assistant (PA-C) in Richfield, Utah, trained at University of Utah School of Medicine (class of 2016). 94 Medicare patients in 2024, $8,233 paid; nearly all of their 144 Part D prescriptions were generic (96%).
Overview
| NPI | 1366994311 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 25, 2016 |
| Last updated in NPPES | Feb 28, 2022 |
| Certified by provider | Feb 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10304622-1206 | UT |
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 (ID); Practitioner - Physician Assistant (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 216 across 34 procedure codes |
| Paid by Medicare | $8,233 |
Part D prescriptions in 2024
| Prescriptions (claims) | 144 · 145 30-day fills |
|---|---|
| Patients | 114 |
| Total drug cost | $1,394 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Physician Assistant |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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