Jacob Webster, PA-C
NPI 1700398484ActiveIndividual· Physician Assistant· San Angelo, TX
Physician Assistant (PA-C) with Shannon Clinic, practicing in San Angelo, Texas. 201 Medicare patients in 2024, $17,486 paid; nearly all of their 150 Part D prescriptions were generic (97%). Lists Shannon Medical Center as a hospital affiliation.
Overview
| NPI | 1700398484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 2, 2017 |
| Last updated in NPPES | Nov 2, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA11617 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 201 |
|---|---|
| Services billed | 269 across 18 procedure codes |
| Paid by Medicare | $17,486 |
Part D prescriptions in 2024
| Prescriptions (claims) | 150 · 150 30-day fills |
|---|---|
| Patients | 129 |
| Total drug cost | $1,470 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Shannon ClinicSan Angelo, TX · 559 clinicians
Hospital affiliation
- Shannon Medical CenterSan Angelo, TX
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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All 32 physician assistants in San Angelo · All physician assistants in Texas