JACOB HOSTETLER M.D. NPI 1265829485

NPI Information

  • NPI: 1265829485
  • Provider Name: JACOB HOSTETLER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4602 US HIGHWAY 59
    GROVE, OK
    ZIP 74344
  • Phone: (918) 877-1211

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NPI Details

Jacob Hostetler, M.D. is a family medicine in Grove, OK with 10 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jacob Hostetler, M.D. NPI is 1265829485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2015

The provider's business location address is:

4602 US HIGHWAY 59
GROVE, OK
ZIP 74344-229
Phone: (918) 877-1211
Fax: (918) 877-1216

The NPI 1265829485 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, clotting time (HCPCS:85610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Uric acid level, blood (HCPCS:84550)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Magnesium level (HCPCS:83735)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/26/2015 and was last updated on 11/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine31475OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200659910BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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