Jacob Stout
NPI 1952037939ActiveIndividual· Physician Assistant· South Salt Lake, UT
Physician Assistant with Santibanez Pac Utah, practicing in South Salt Lake, Utah. In 2024 Medicare paid $70,877 for 172 patients, and Part D covered 986 of their prescriptions, 88% of them generic. Neurocrine Biosciences, Inc. reported $268.72 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1952037939 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 1, 2022 |
| Last updated in NPPES | Nov 1, 2023 |
| Certified by provider | Nov 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13593511-1206 | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 1,087 across 9 procedure codes |
| Paid by Medicare | $70,877 |
Part D prescriptions in 2024
| Prescriptions (claims) | 986 · 989 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $53,266 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Santibanez Pac UtahSalt Lake City, UT · 18 clinicians
Industry payments (Open Payments)
- 2024$268.72 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $268.72 | 2 |
What the 2024 payments were for
- Food and Beverage$268.72 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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