MR. LUKE ALLAN COUNTERMAN (PA-C) – Physician Assistant, NPI 1093391450

MR. LUKE ALLAN COUNTERMAN (PA-C) is a healthcare provider. based in Moab, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12492705-8906 (UT). The NPI Number for MR. LUKE ALLAN COUNTERMAN (PA-C) is 1093391450

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. LUKE ALLAN COUNTERMAN (PA-C)
NPI
1093391450
Phone
(616) 265-2965
Address
27 BEHIND THE ROCKS DR
Enumeration Date
24 March 2021
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4789072893
Professional Enrollment ID
I20260109001667
Address ID
NM873051337GAPOXXXBOXX273
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:5State licenses:3Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MR. LUKE ALLAN COUNTERMAN (PA-C)

  • 27 BEHIND THE ROCKS DR

    MOAB, UT 845323917

    Phone: (616) 265-2965

    Type: Mailing

  • 450 WILLIAMS WAY

    MOAB, UT 845322185

    Phone: (435) 719-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20211022000169IPhysician AssistantUTTBD
I20260109001667IPhysician AssistantTXTBD

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.

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

Insurance plans in this area (ZIP 84532)

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Reviews

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Frequently asked questions

Does MR. LUKE ALLAN COUNTERMAN (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. LUKE ALLAN COUNTERMAN (PA-C) uses 1093391450.
Does CMS list MR. LUKE ALLAN COUNTERMAN (PA-C) as active?
Yes — MR. LUKE ALLAN COUNTERMAN (PA-C) is active in the NPI listing used on this page.
What is MR. LUKE ALLAN COUNTERMAN (PA-C) best known for clinically?
Directory data describes MR. LUKE ALLAN COUNTERMAN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. LUKE ALLAN COUNTERMAN (PA-C) serve?
MR. LUKE ALLAN COUNTERMAN (PA-C)'s listing highlights Moab, Utah; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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