MICHAEL DAHL (PA) – Physician Assistant, NPI 1134210883
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for MICHAEL DAHL (PA)
94 W MAIN ST
SANTAQUIN, UT 846555655
Phone: (801) 754-3122
Fax: (801) 798-8513
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
CREDENTIALING DEPARTMENT
PROVO, UT 846043305
Phone: (801) 354-8215
Fax: (801) 429-8180
Type: Mailing
325 W CENTER ST
SPANISH FORK, UT 846602060
Phone: (801) 754-3122
Fax: (801) 798-8513
Type: Mailing
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: 2006-11-04
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 |
|---|---|---|---|---|
| I20061104000059 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 33 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 35 | 31 | $0 |
| 83036 | Hemoglobin a1c level | 24 | 16 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 20 | 18 | $0 |
Insurance plans in this area (ZIP 84655)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | UT | 81002 | Urinalysis, manual test | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Family Practice | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Nurse Practitioner | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | UT |
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