MR. SCOTT ALAN LANGE (PA) – Surgical Physician Assistant, NPI 1104801315
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for MR. SCOTT ALAN LANGE (PA)
North 500 West, Downtown, Provo, Utah County, Utah, 84606, United States
Suite 100
Provo, UT 846043383
Phone: (801) 357-7081
Type: Location
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 181036381
Phone: (610) 402-6890
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 357-7081
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABIOMED ($251).
Total Amount
$391
General + Research + Ownership
Payments
11
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $251 |
| Getinge USA Sales, LLC | $101 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $38 |
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: 2023-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210603001166 | I | Physician Assistant | WV | TBD |
| I20231213002437 | I | Physician Assistant | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Family Practice | NY | |
| Family Practice | NY | |
| Physician Assistant | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| Cardiovascular Disease (Cardiology) | NY | |
| - | NY | |
| Physician Assistant | FL | |
| Nurse Practitioner | NY |
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