CRAIG AARON PACKHAM (PA-C) – Medical Physician Assistant, NPI 1104920354
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for CRAIG AARON PACKHAM (PA-C)
2356 N 400 E Ste 201
Tooele, UT 840743409
Phone: (435) 882-2350
Fax: (435) 880-2039
Type: Location
North 400 East, Tooele, Tooele County, Utah, 84074, United States
STE 102
TOOELE, UT 84074
Phone: (435) 833-9180
Fax: (435) 833-9177
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $530.
Total Amount is formed as General ($530) + Research ($0) + Ownership ($0) = $530.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($172).
Total Amount
$530
General + Research + Ownership
Payments
23
Total payment records
General Amount
$530
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $172 |
| Smith+Nephew, Inc. | $150 |
| ABBVIE INC. | $71 |
| Boston Scientific Corporation | $65 |
| Ferring Pharmaceuticals Inc. | $41 |
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: 2009-03-24
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 |
|---|---|---|---|---|
| I20090324000542 | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 972 | 111 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 290 | 95 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 258 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 83 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 117 | 25 | $0 |
Insurance plans in this area (ZIP 84074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| - | UT |
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