Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael A Jacobs , PA-C

Physician Assistant โ€ข Kenosha, WI

Active NPI 1700993227 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10400 75th St
Kenosha, WI 531427884

Call 2629487080 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

10400 75th St

Kenosha, WI 531427884

Telephone 2629487080
Fax 2629487328
Organization at the Same NPPES Address or Phone
Mea-Aea Kenosha Sc Facility NPI 1477546737

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Aurora Medical Group, Inc.. 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

Graduation Year

1999

Medicare patients

73 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $18,382 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $13,683 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 โ€“ by Provider and Service, 2024.

30-day fills

2,629 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

$40,313 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

27 years (graduated 1999)

CMS Doctors and Clinicians data list 1999 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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Michael 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael 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.

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 Kenosha and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Kenosha, WI (2024, 33 clinicians with data). Median for this group: 173. Middle half: 88 to 406.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: 151. Middle half: 66 to 327.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Kenosha, WI (2024, 33 clinicians with data). Median for this group: $15,781. Middle half: $9,135 to $28,348.

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $11,599. Middle half: $5,418 to $21,463.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Kenosha, WI (2024, 33 clinicians with data). Median for this group: $11,187. Middle half: $6,785 to $20,092.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $8,471. Middle half: $3,957 to $15,807.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Kenosha, WI (2024, 33 clinicians with data). Median for this group: 262. Middle half: 63 to 921.

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: 195. Middle half: 67 to 674.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Kenosha, WI (2024, 33 clinicians with data). Median for this group: $2,530. Middle half: $333 to $81,009.

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: $2,439. Middle half: $549 to $63,260.

45 active clinicians are listed under Physician Assistant with a practice address in Kenosha, WI (3,476 in Wisconsin).

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

Telehealth indicator in Kenosha

13.3% of these 45 clinicians have the CMS telehealth indicator.

75.6% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

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

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“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 โ€“ by Provider and Service data, 2019โ€“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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
78 44 $515.00 $101.34
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
66 43 $350.00 $72.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
34 34 $360.00 $103.64
83036 Hemoglobin a1c level
18 13 $80.00 $9.52
G0008 Administration of influenza virus vaccine
18 18 $65.00 $30.42
90662 Influenza vaccine split virus, preservative free
16 16 $125.00 $81.82
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
12 12 $190.00 $11.30

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 ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 145 11,634 $964.80 46
Lisinopril Lisinopril 63 4,890 $257.36 19
Pantoprazole Sodium Pantoprazole Sodium 59 2,939 $381.42 14
Albuterol Sulfate Hfa Albuterol Sulfate 58 1,476 $1,225.74 27
Metformin Hcl Er Metformin Hcl 55 4,228 $374.75 16
Omeprazole Omeprazole 48 2,688 $466.15 12
Amlodipine-Valsartan Amlodipine Besylate/Valsartan 48 3,510 $1,995.17 11
Metformin Hcl Metformin Hcl 47 3,017 $211.51 14
Tamsulosin Hcl Tamsulosin Hcl 42 2,479 $630.10 11
Pravastatin Sodium Pravastatin Sodium 41 3,310 $459.41 โ€”
Levothyroxine Sodium Levothyroxine Sodium 37 3,144 $288.28 13
Losartan Potassium Losartan Potassium 37 2,404 $150.82 11
Amlodipine Besylate Amlodipine Besylate 35 2,296 $65.00 13
Montelukast Sodium Montelukast Sodium 35 1,410 $98.17 โ€”
Valsartan Valsartan 35 2,034 $710.06 13
Hydrochlorothiazide Hydrochlorothiazide 27 2,070 $77.43 โ€”
Bupropion Xl Bupropion Hcl 27 1,276 $509.69 โ€”
Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide 26 1,680 $32.02 โ€”
Simvastatin Simvastatin 24 1,354 $90.59 โ€”
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 23 887 $1,599.74 โ€”
Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril 20 1,320 $94.67 โ€”
Celecoxib Celecoxib 19 558 $209.31 โ€”
Fluticasone-Salmeterol Fluticasone Propion/Salmeterol 19 870 $1,896.30 โ€”
Donepezil Hcl Donepezil Hcl 17 724 $169.20 โ€”
Metoprolol Succinate Metoprolol Succinate 17 1,286 $194.50 โ€”

(top 25 shown)

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: 2025-09-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 1170-023

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
42987800 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20100603000850

Enrollment State Jurisdiction

WI

PECOS Control ID

0345379103

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

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Clinicians Sharing This Practice Address or Phone

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

2 listed
Dr. Muhammad Khan , MD

Family Medicine

NPI 1447367974

Doctor of Medicine (M.D.)

Dr. Vincent Rizzo , MD

Family Medicine

NPI 1205943552

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
๐Ÿ“
Updated Business Mailing Address September 16, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

๐Ÿ“
Updated Practice Location August 26, 2019

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

๐Ÿ“
Updated Business Mailing Address August 26, 2019

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

โœ…
NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location January 25, 2018

Registered at 11725 N PORT WASHINGTON RD STE 250, MEQUON, WI 530923486 (Tel: 2622409640)

๐Ÿ“
Updated Business Mailing Address January 25, 2018

Registered at 11725 N PORT WASHINGTON RD STE 250, MEQUON, WI 530923486 (Tel: 2622409640)

๐Ÿ‘ค
Provider Name / Credentials Updated January 25, 2018

Recorded as MICHAEL JACOBS, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Physician Assistant (license number reported to NPPES: WI 1170-023)

โœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 09, 2007

Registered at 10400 75TH ST, KENOSHA, WI 53142 (Tel: 2626977000)

๐Ÿ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146476326)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as MICHAEL JACOBS, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (license number reported to NPPES: WI 1170-023)

๐ŸŸข
Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700993227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: September 16, 2025
Sole Proprietor: No

Other Physician Assistants in Kenosha

All Physician Assistants in Kenosha

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.