Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jacob Carmen Yannetta , DO

Surgery - Vascular Surgery • Springfield, OH

Active NPI 1992873046 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

30 W Mccreight Ave Ste 106
Springfield, OH 455041853

Call 9375239885 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

30 W Mccreight Ave Ste 106

Springfield, OH 455041853

Telephone 9375239885
Fax 9375239886
Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Kettering Independent Medical Group Inc; Mercy Health Physicians Springfield Specialty Care Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of North Texas Hsc, College Of Osteopathic Med

Graduation Year

2002

Medicare patients

328 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $98,403 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $76,850 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

218 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$13,378 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.48 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

24 years (graduated 2002)

CMS Doctors and Clinicians data list 2002 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Yannetta has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Yannetta as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 152 clinicians with data). Median for this group: 690. Middle half: 363 to 1,050.

Too few clinicians listed under Surgery - Vascular Surgery in Springfield have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 152 clinicians with data). Median for this group: $46,300. Middle half: $29,541 to $79,811.

Too few clinicians listed under Surgery - Vascular Surgery in Springfield have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 152 clinicians with data). Median for this group: $34,641. Middle half: $21,156 to $59,884.

Too few clinicians listed under Surgery - Vascular Surgery in Springfield have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 135 clinicians with data). Median for this group: 145. Middle half: 46 to 249.

Too few clinicians listed under Surgery - Vascular Surgery in Springfield have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 135 clinicians with data). Median for this group: $11,950. Middle half: $549 to $39,295.

Too few clinicians listed under Surgery - Vascular Surgery in Springfield have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Surgery - Vascular Surgery with a practice address in Springfield, OH (241 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $19.48.

Manufacturer Payment Nature Product Type Amount ($)
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE EXCLUDER Iliac Branch Endoprosthesis General $19.48

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
218 96 $128.00 $74.98
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
82 69 $103.00 $11.58
76937 Ultrasonic guidance for blood vessel access
78 58 $31.00 $13.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
75 73 $528.00 $165.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
68 64 $360.00 $124.37
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
66 63 $188.00 $84.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
52 45 $279.00 $119.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
45 45 $427.00 $158.96
75625 Review by radiologist of abdominal aorta image
24 23 $384.50 $64.39
99406 Smoking and tobacco use intensive counseling, 4-10 minutes
23 17 $25.00 $13.95
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch
22 22 $2696.91 $282.69
75710 Review by radiologist of arm or leg artery image
22 19 $385.00 $78.63
75716 Review by radiologist of both arms or legs arteries image
16 16 $391.00 $87.82
35301 Removal of blood clot and portion of chest, neck, or brain artery
15 15 $2161.00 $1071.37
37228 Balloon dilation of artery of leg, initial vessel
15 12 $1967.00 $433.88
37191 Insertion of vena cava filter with review by radiologist
14 14 $534.00 $206.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
14 13 $183.00 $112.87
34713 Exposure of groin artery for delivery of graft
12 12 $575.17 $166.30

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clopidogrel Clopidogrel Bisulfate 57 4,276 $532.98 24
Prednisone Prednisone 26 82 $18.46 17
Famotidine Famotidine 16 19 $14.41 12
Eliquis Apixaban 11 620 $12,147.28 —
Enoxaparin Sodium Enoxaparin Sodium 11 62 $665.11 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-02
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

License # reported to NPPES OH 34.008653

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES OH 34.008653

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2774869 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - VASCULAR SURGERY

Medicare Enrollment ID

I20071001000773

Enrollment State Jurisdiction

OH

PECOS Control ID

4082709340

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

450 B Washington Jackson Rd, Eaton, OH 453207601

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

2510 Commons Blvd, Beavercreek, OH 454313835

Phone: 9374549527

Mercy Health Physicians Springfield Specialty Care Llc

100 Medical Ctr Dr, Springfield, OH 455042687

Phone: 9375234147

Mercy Health Physicians Springfield Specialty Care Llc

30 W Mccreight Ave, Springfield, OH 455041853

Kettering Independent Medical Group Inc

450 Washington Jackson Rd, Eaton, OH 453207601

Phone: 9374549527

Mercy Health Physicians Springfield Specialty Care Llc

900 Scioto St, Urbana, OH 430782251

Phone: 9377174884

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Leanne Casserlie , PA-C

Physician Assistant

NPI 1083216477

Physician Assistant (Certified)

Megan Haas , PA

Physician Assistant

NPI 1992175798

Physician Assistant

William Nickell , PA-C

Physician Assistant - Surgical

NPI 1376826925

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location February 02, 2026

Registered at 30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 455041853 (Tel: 9375239885)

📍
Updated Business Mailing Address February 02, 2026

Registered at 30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 455041853 (Tel: 9375239885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2026

Surgery (license number reported to NPPES: OH 34.008653)

âś…
NPI Profile Active June 28, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 28, 2012

Registered at 2141 N FAIRFIELD RD, STE. B, BEAVERCREEK, OH 454312578 (Tel: 9374580025)

📍
Business Mailing Address (Initial Record) June 28, 2012

Registered at 2141 N FAIRFIELD RD, STE. B, BEAVERCREEK, OH 454312578 (Tel: 9374580025)

👤
Provider Name / Credentials (Initial Record) June 28, 2012

Recorded as JACOB YANNETTA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2012

Surgery (license number reported to NPPES: OH 34.008653)

🟢
Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992873046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: February 02, 2026
Sole Proprietor: No

Mailing Address

30 W Mccreight Ave Ste 106

Springfield, OH 455041853

Phone: 9375239885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.