MR. JACOB M. FRAKER (P.A.) – Physician Assistant, NPI 1770565723
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MR. JACOB M. FRAKER (P.A.)
53880 CARMICHAEL DR
SOUTH BEND, IN 466351567
Phone: (574) 247-9441
Fax: (574) 247-9442
Type: Mailing
60160 Bodnar Blvd
Mishawaka, IN 465449338
Phone: (574) 247-9441
Type: Location
2349 Lake Ave Ste 201
Plymouth, IN 465637837
Phone: (574) 247-9441
Type: Location
303 S Nappanee St Ste F
Elkhart, IN 465142066
Phone: (574) 246-9441
Type: Location
3600 W BETHEL AVE
MUNCIE, IN 473045407
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-05-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($117).
Total Amount
$220
General + Research + Ownership
Payments
4
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $117 |
| Stryker Corporation | $48 |
| Linvatec Corporation | $30 |
| Heron Therapeutics, Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040913000734 | I | Physician Assistant | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 129 | 124 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 45 | 44 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 16 | 15 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 46635)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IN | 27447 | Repair of knee joint | 78 | 77 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN |
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