Jacob West, PA-C
Opted out of Medicare from March 2026 to March 2028. Physician Assistant (PA-C) with Volunteer Healthcare Services, Inc., practicing in Alcoa, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $335,706 for 3,614 claims, against $31,468 paid for services in 2024. Novo Nordisk Inc was the largest of 7 companies reporting payments in 2025, $184.36 in all, mostly food and beverage. Lists Blount Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1427533488 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 26, 2018 |
| Last updated in NPPES | Nov 3, 2025 |
| Certified by provider | Nov 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3708 | TN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Mar 27, 2026 – Mar 27, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 652 across 40 procedure codes |
| Paid by Medicare | $31,468 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,614 · 7,802 30-day fills |
|---|---|
| Patients | 431 |
| Total drug cost | $335,706 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Volunteer Healthcare Services, Inc.Morristown, TN · 91 clinicians
Hospital affiliation
- Blount Memorial HospitalMaryville, TN
Industry payments (Open Payments)
- 2025$184.36 · 10 payments from 7 companies
- 2024$299.89 · 17 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $62.68 | 2 |
| Xeris Pharmaceuticals, Inc. | $33.99 | 2 |
| Astrazeneca Pharmaceuticals LP | $30.92 | 2 |
| E.R. Squibb & Sons, L.L.C. | $15.51 | 1 |
| Lilly USA, LLC | $13.98 | 1 |
What the 2025 payments were for
- Food and Beverage$184.36 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 physician assistants in Alcoa · All physician assistants in Tennessee