Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Micrographic Dermatologic Surgery (MDS)

Jake Fagan, MD

Sees patients in Provo, UT · Utah

Summary

Jake Fagan, MD (Micrographic Dermatologic Surgery (MDS)) is enrolled with Medicare at 1 practice location in Provo, UT. NPI 1548688989. Medicare data says the clinician accepts Medicare assignment. Source: CMS National Downloadable File, updated 2026-10-02.

From official Medicare data

This page shows what Medicare's official clinician data says about Jake Fagan, joined by NPI number (data updated 2026-10-02). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Micrographic Dermatologic Surgery (MDS)Primary specialty
YesAccepts Medicare assignment
12Years since medical school (graduated 2014)
West Virginia University School Of MedicineMedical school
MaleGender (as listed)
Revere Health PCGroup practice

Quick answers

Where does Jake Fagan see patients?
Medicare's clinician data lists 1 practice location in Provo, UT. Call before your visit to confirm the address.
What is Jake Fagan's specialty?
Medicare lists Micrographic Dermatologic Surgery (MDS) as the primary specialty, and also Dermatology.
Does Jake Fagan accept Medicare assignment?
Yes. Medicare's clinician data says Jake Fagan accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of 2026-10-02. Ask the office to confirm before your visit.
What is the phone number for Jake Fagan?
(801) 374-8999, as listed in official Medicare / NPI Registry data.
What is Jake Fagan's NPI number?
1548688989. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Practice locations

Addresses where Jake Fagan is enrolled with Medicare (CMS data updated 2026-10-02).

Group practices

Medicare enrollment lists Jake Fagan as a member of this group (CMS data updated 2026-10-02).

  • Revere Health PC410 clinicians in the group

Specialties

Find other Micrographic Dermatologic Surgery (MDS) doctors in Utah →

Other dermatologic surgeons in Utah

Clinicians with the same Medicare primary specialty in Utah — not a recommendation.

All dermatologic surgeons in Utah →

Clinician information

CredentialMD
Medical schoolWest Virginia University School Of Medicine
Graduation year2014
Gender (as listed)Male
Medicare assignmentAccepts (Medicare-approved amount as full payment)
NPI (National Provider Identifier)1548688989
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. National Downloadable File (Doctors and Clinicians) — CMS, data updated 2026-10-02, retrieved 2026-10-29
  2. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  3. Medicare Care Compare — official Medicare tool to look up clinicians