JACOB DANIEL BOYER (PA-C) – Physician Assistant, NPI 1306193248

JACOB DANIEL BOYER (PA-C) is a healthcare provider. based in Grinnell, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002319 (IA). The NPI Number for JACOB DANIEL BOYER (PA-C) is 1306193248

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JACOB DANIEL BOYER (PA-C)
NPI
1306193248
Phone
(641) 236-2500
Address
210 4TH AVE
Enumeration Date
9 August 2012
Last Update Date
9 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6412367511
Graduation Year
2012 (14 years ago)
PAC ID
8921259466
Group Practice PAC ID
0446153662
Professional Enrollment ID
I20121110000139
Address ID
IA501121898GR210XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,649 PHYSICIAN ASSISTANT in IA

Provider Addresses for JACOB DANIEL BOYER (PA-C)

  • 210 4TH AVE

    GRINNELL, IA 501121898

    Phone: (641) 236-2500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-07 • Largest payer in this snapshot: Medtronic, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2012-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (928 days ago).

Enrollment records

1

Earliest due date

2023-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121110000139IPhysician AssistantIA2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50112)

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Provider's Procedures

JACOB DANIEL BOYER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIA85610Blood test, clotting time11430
PHYSICIAN ASSISTANTIA90670Pneumococcal vaccine for injection into muscle1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446153662View full group profile
NameSpecialtyState
Emergency MedicineIA
Physician AssistantIA
Emergency MedicineIA
-IA
Nurse PractitionerRI
Anesthesiology, Interventional Pain Management, Pain ManagementIA
Emergency MedicineMO
-OH
-IA
Internal MedicineIA

Reviews

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Frequently asked questions

What NPI should I save for JACOB DANIEL BOYER (PA-C)?
Save NPI 1306193248 if you need a stable reference for JACOB DANIEL BOYER (PA-C).
Does this profile mean JACOB DANIEL BOYER (PA-C) is currently active?
Yes — JACOB DANIEL BOYER (PA-C) appears active in the national provider directory.
What field does JACOB DANIEL BOYER (PA-C) work in?
You can think of JACOB DANIEL BOYER (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for JACOB DANIEL BOYER (PA-C)?
We surface Grinnell, Iowa for JACOB DANIEL BOYER (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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