Jacob M. Fraker, P.A.
NPI 1770565723ActiveIndividual· Physician Assistant· South Bend, IN
Physician Assistant (P.A.) with Central Indiana Orthopedics LLC, practicing in South Bend, Indiana. 252 Medicare patients in 2024, $32,883 paid; all of their 116 Part D prescriptions were generic. Depuy Synthes Sales Inc. was the largest of 2 companies reporting payments in 2024, $147.42 in all, mostly food and beverage. Lists Saint Joseph Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1770565723 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Nov 16, 2005 |
| Last updated in NPPES | Sep 3, 2024 |
| Certified by provider | Sep 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10000686A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 252 |
|---|---|
| Services billed | 589 across 55 procedure codes |
| Paid by Medicare | $32,883 |
Part D prescriptions in 2024
| Prescriptions (claims) | 116 · 118 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $431.60 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Central Indiana Orthopedics LLCAnderson, IN · 148 clinicians
Hospital affiliations
- Saint Joseph Regional Medical CenterMishawaka, IN
- Saint Joseph Regional Medical Center - PlymouthPlymouth, IN
- Unity Physicians HospitalMishawaka, IN
Industry payments (Open Payments)
- 2024$147.42 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $117.35 | 1 |
| Linvatec Corporation | $30.07 | 1 |
What the 2024 payments were for
- Food and Beverage$147.42 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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