CHRISTOPHER VAN TERRY (PA-C) – Physician Assistant, NPI 1104271154

CHRISTOPHER VAN TERRY (PA-C) is a healthcare provider. based in West jordan, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9712155-1206 (UT). The NPI Number for CHRISTOPHER VAN TERRY (PA-C) is 1104271154

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER VAN TERRY (PA-C)
NPI
1104271154
Phone
(801) 505-5370
Address
3590 W 9000 S
Enumeration Date
27 April 2016
Last Update Date
27 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3855412225
Graduation Year
2013 (13 years ago)
PAC ID
1355630138
Group Practice PAC ID
7618875915
Professional Enrollment ID
I20160518000453
Address ID
UT841077210MU5911XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for CHRISTOPHER VAN TERRY (PA-C)

  • 3590, 9000 South, Vista Plat, West Jordan, Salt Lake County, Utah, 84088, United States

    SUITE 240

    WEST JORDAN, UT 840888857

    Phone: (801) 505-5370

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Stryker Corporation ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$35
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: 2016-05-18

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
I20160518000453IPhysician 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
20937Harvest of bone fragment for spine bone graft1717$0
22840Placement of stabilizing device to back of 1 spine bone in neck1414$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1313$0
22633Fusion of spine in lower back with partial removal of spine bone and disc1111$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion1111$0
View full utilization report →

Insurance plans in this area (ZIP 84088)

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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: 7618875915View full group profile
NameSpecialtyState
Orthopedic SurgeryUT

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTOPHER VAN TERRY (PA-C)'s NPI?
Yes. CHRISTOPHER VAN TERRY (PA-C) is listed with NPI 1104271154 in the public NPI dataset.
Is CHRISTOPHER VAN TERRY (PA-C) listed as active for patients and plans?
The listing shows CHRISTOPHER VAN TERRY (PA-C) as active in the NPI system.
What taxonomy line describes CHRISTOPHER VAN TERRY (PA-C)?
For research purposes, treat CHRISTOPHER VAN TERRY (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does CHRISTOPHER VAN TERRY (PA-C) list a practice location?
Patients near West Jordan, Utah may find CHRISTOPHER VAN TERRY (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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