Thomas Larue Jacobs , ARNP
Nurse Practitioner โข Saint Helens, OR
475 S Columbia River Hwy Ste 105
Saint Helens, OR 970512860
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 14, 2017; this date does not establish years in practice.
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Published CMS data list 13 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 13 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 305 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Diclofenac Sodium โ 30 prescription fills, including refills.
- Cephalexin โ 20 prescription fills, including refills.
- Cyclobenzaprine Hcl โ 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 20 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Oregon (2024, 237 clinicians with data). Median for this group: 246. Middle half: 80 to 602.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 56 in 2020 to 13 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
475 S Columbia River Hwy Ste 105
Saint Helens, OR 970512860
NPPES lists 4 distinct additional practice-address records in Kennewick, WA; Prudhoe Bay, AK; Umatilla, OR and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: University Professional Services. 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
2017
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
40 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $1,072 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 โ by Provider and Service, 2024.
Paid by Medicare
About $748 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 โ by Provider and Service, 2024.
30-day fills
329 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
$4,543 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2017
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Thomas Jacobs 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.
Can order Medicare-covered services
CMS lists Thomas Jacobs 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Saint Helens and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Oregon (2024, 237 clinicians with data). Median for this group: 246. Middle half: 80 to 602.
Too few clinicians listed under Nurse Practitioner in Saint Helens have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Oregon (2024, 237 clinicians with data). Median for this group: $17,290. Middle half: $6,227 to $40,189.
Too few clinicians listed under Nurse Practitioner in Saint Helens have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Oregon (2024, 237 clinicians with data). Median for this group: $12,596. Middle half: $4,446 to $29,272.
Too few clinicians listed under Nurse Practitioner in Saint Helens have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Oregon (2024, 306 clinicians with data). Median for this group: 326. Middle half: 110 to 1,349.
Too few clinicians listed under Nurse Practitioner in Saint Helens have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Oregon (2024, 306 clinicians with data). Median for this group: $19,914. Middle half: $1,695 to $143,045.
Too few clinicians listed under Nurse Practitioner in Saint Helens have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Nurse Practitioner with a practice address in Saint Helens, OR (599 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 77% from 56 in 2020 to 13 in 2024.
- 2020: 56
- 2021: 207
- 2022: 35
- 2023: 70
- 2024: 13
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Medicare-allowed amount
Medicare-allowed amount decreased 78% from $4,807 in 2020 to $1,072 in 2024.
- 2020: $4,807
- 2021: $18,639
- 2022: $1,156
- 2023: $4,755
- 2024: $1,072
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Paid by Medicare
Paid by Medicare decreased 70% from $2,479 in 2020 to $748 in 2024.
- 2020: $2,479
- 2021: $11,693
- 2022: $934
- 2023: $2,817
- 2024: $748
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 384% from 63 in 2019 to 305 in 2024.
- 2019: 63
- 2021: 131
- 2022: 141
- 2023: 186
- 2024: 305
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30-day fills
30-day fills increased 422% from 63 in 2019 to 329 in 2024.
- 2019: 63
- 2021: 131
- 2022: 177
- 2023: 197
- 2024: 329
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Part D drug cost
Part D drug cost went from $654 in 2019 to $4,543 in 2024.
- 2019: $654
- 2021: $1,155
- 2022: $1,541
- 2023: $1,940
- 2024: $4,543
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 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 โ by Provider and Service data, 2018โ2024; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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13 | 13 | $307.00 | $82.49 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Diclofenac Sodium | Diclofenac Sodium | 30 | 317 | $191.67 | 26 |
| Cephalexin | Cephalexin | 20 | 148 | $129.51 | 20 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 20 | 204 | $53.03 | 16 |
| Lisinopril | Lisinopril | 19 | 754 | $56.90 | โ |
| Fluticasone Propionate | Fluticasone Propionate | 18 | 510 | $162.58 | 16 |
| Prednisone | Prednisone | 17 | 130 | $49.33 | 17 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | 312 | $179.39 | 16 |
| Mupirocin | Mupirocin | 16 | 153 | $241.23 | 14 |
| Ondansetron Odt | Ondansetron | 15 | 104 | $139.74 | 15 |
| Atorvastatin Calcium | Atorvastatin Calcium | 14 | 675 | $227.08 | โ |
| Cefdinir | Cefdinir | 14 | 68 | $106.69 | 14 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 13 | 67 | $61.21 | 13 |
| Gabapentin | Gabapentin | 13 | 290 | $76.33 | 12 |
| Famotidine | Famotidine | 12 | 259 | $61.41 | โ |
| Oxycodone Hcl | Oxycodone Hcl | 12 | 162 | $69.08 | 11 |
| Buprenorphine Hcl | Buprenorphine Hcl | 12 | 322 | $656.35 | โ |
| Metformin Hcl | Metformin Hcl | 11 | 558 | $72.33 | โ |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 11 | 199 | $1,594.62 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 11 | 94 | $95.98 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 11 | 232 | $318.98 | 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: 2020-02-17NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
NUCC Taxonomy Code: 363LF0000X
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20200327000475
OR
2668747510
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
University Professional Services
3181 Sw Sam Jackson Park Rd, Portland, OR 972393011
Phone: 5034948311
Secondary Practice Locations
400 Ne Mother Joseph Pl
Vancouver, WA 986643200
Phone: 3605142000
Encore Wellness 4 Life 135 Vista Way, Suite E
Kennewick, WA 993363200
Phone: 5099871099
Encore Wellness 4 Life 1890 7th St
Umatilla, OR 978823200
Phone: 5419221750
Noc Medical Clinic, 12 Acre Pad, Oliktok Road
Prudhoe Bay, AK 997340000
Phone: 9076851420
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 475 S COLUMBIA RIVER HWY STE 105, SAINT HELENS, OR 970512860 (Tel: 5033977119)
Nurse Practitioner (license number reported to NPPES: OR 201707769NP-PP)
Registered at NOC MEDICAL CLINIC, 12 ACRE PAD, OLIKTOK ROAD, PRUDHOE BAY, AK 997340000 (Tel: 9076851420)
Nurse Practitioner (license number reported to NPPES: AK 153353)
Nurse Practitioner (license number reported to NPPES: OR 201707769NP-PP)
NPI status registered as active in NPPES database
Registered at ENCORE WELLNESS 4 LIFE 1890 7TH ST, UMATILLA, OR 978823200 (Tel: 5419221750)
Registered at 29134 OLD RAINIER RD, RAINIER, OR 970482300 (Tel: (360) 818-4677)
Recorded as THOMAS JACOBS, ARNP
Nurse Practitioner (license number reported to NPPES: OR 201707769NP-PP)
NPI status registered as active in NPPES database
Registered at 400 NE MOTHER JOSEPH PL, VANCOUVER, WA 986643200 (Tel: 3605142000)
Registered at 29134 OLD RAINIER RD, RAINIER, OR 970482300 (Tel: 3608184677)
Recorded as THOMAS JACOBS, ARNP
Nurse Practitioner (license number reported to NPPES: WA AP60785555)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Saint Helens
Mailing Address
29134 Old Rainier Rd
Rainier, OR 970482300
Phone: 3608184677