ADRIENNE MCMASTER (PA-C) – Physician Assistant, NPI 1003095373

ADRIENNE MCMASTER (PA-C) is a healthcare provider. based in Logan, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4985108-1206 (UT). The NPI Number for ADRIENNE MCMASTER (PA-C) is 1003095373

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE MCMASTER (PA-C)
NPI
1003095373
Phone
(435) 753-1600
Address
274 N MAIN ST
Enumeration Date
2 November 2007
Last Update Date
20 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015876340
Graduation Year
2007 (19 years ago)
PAC ID
1355430620
Group Practice PAC ID
9638073497
Professional Enrollment ID
I20071210000373
Address ID
UT841320001SA50XXXDRXX400

Contacts

Secure Messaging
amcmaster81067@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for ADRIENNE MCMASTER (PA-C)

  • 274, Main Street, Sterling, Logan County, Colorado, 80751, United States

    LOGAN, UT 843213915

    Phone: (435) 753-1600

    Fax: (435) 753-9521

    Type: Mailing

  • Cache Valley Hospital, 2380, North 400 East, Greenville, North Logan, Cache County, Utah, 84341, United States

    LOGAN, UT 843411756

    Phone: (435) 752-5741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($179).

Total Amount

$325

General + Research + Ownership

Payments

10

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

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: 2007-12-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071210000373IPhysician AssistantUTTBD

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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths47284$0
99213Established patient office or other outpatient visit, 20-29 minutes185163$0
17000Destruction of precancer skin growth, 1 growth117107$0
17110Destruction of skin growth, 1-14 growths7567$0
11102Biopsy of related skin growth, first growth4741$0
View full utilization report →

Insurance plans in this area (ZIP 84321)

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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: 9638073497View full group profile
NameSpecialtyState
D E R M A T O L O G YUT
D E R M A T O L O G YTN
D E R M A T O L O G YCA
P A T H O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YPA
-UT
D E R M A T O L O G YUT

Reviews

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Frequently asked questions

What number should I use to identify ADRIENNE MCMASTER (PA-C) for billing?
Administrative and clinical systems typically use NPI 1003095373 for ADRIENNE MCMASTER (PA-C).
Should I treat ADRIENNE MCMASTER (PA-C) as an active provider?
Patients and plans typically see ADRIENNE MCMASTER (PA-C) as active in the national extract.
What does the directory say ADRIENNE MCMASTER (PA-C) does?
Insurance directories may phrase it differently, but here ADRIENNE MCMASTER (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ADRIENNE MCMASTER (PA-C)?
ADRIENNE MCMASTER (PA-C) is associated with Logan, Utah in the same public data insurers reference.
Why is information missing for ADRIENNE MCMASTER (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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