TODD DALE LYTHGOE (PA-C) – Physician Assistant, NPI 1477571065
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for TODD DALE LYTHGOE (PA-C)
Denver Post Office, West Fayette Street, Denver, Bremer County, Iowa, 50622, United States
DENVER, CO 802175546
Phone: (801) 397-6100
Fax: (801) 397-6101
Type: Mailing
Renaissance Towne Drive, Renaissance Towne Center, Bountiful, Davis County, Utah, 84010, United States
SUITE 210
BOUNTIFUL, UT 840107680
Phone: (801) 397-6100
Fax: (801) 397-6101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $545.
Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($155).
Total Amount
$545
General + Research + Ownership
Payments
29
Total payment records
General Amount
$545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $155 |
| Novartis Pharmaceuticals Corporation | $110 |
| UCB, Inc. | $74 |
| Janssen Pharmaceuticals, Inc | $37 |
| Lilly USA, LLC | $27 |
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: 2016-05-31
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 |
|---|---|---|---|---|
| I20160531001144 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 535 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 198 | 166 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 172 | 151 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 149 | 126 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 108 | 63 | $0 |
Insurance plans in this area (ZIP 80217)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | UT | 11101 | Biopsy of each additional growth of skin and/or tissue | 39 | 27 |
| PHYSICIAN ASSISTANT | UT | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 47 | 47 |
| PHYSICIAN ASSISTANT | UT | 17003 | Destruction of 2-14 skin growths | 203 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| P O D I A T R Y | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Qualified Speech Language Pathologist | CO | |
| N E U R O L O G Y | CO | |
| Family Practice, Sports Medicine | CO | |
| Neurology, Sleep Medicine | CO | |
| Nurse Practitioner | UT |
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