MR. COLLIN VERDEL MCDONALD (PA-C) – Medical Physician Assistant, NPI 1154625739
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,972 PHYSICIAN ASSISTANT in UT
Provider Addresses for MR. COLLIN VERDEL MCDONALD (PA-C)
661 W South Jordan Pkwy
South Jordan, UT 840958524
Phone: (801) 302-2690
Fax: (801) 302-2693
Type: Location
661 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 840958524
Phone: (801) 302-2690
Fax: (801) 302-2693
Type: Mailing
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
9001 S 3200 W
WEST JORDAN, UT 840889621
Phone: (801) 569-5520
Type: Location
7181 S CAMPUS VIEW DR STE 200
WEST JORDAN, UT 840844312
Phone: (801) 965-3505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,429.
Total Amount is formed as General ($1,429) + Research ($0) + Ownership ($0) = $1,429.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($569).
Total Amount
$1,429
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $569 |
| Collegium Pharmaceutical, Inc. | $149 |
| Lundbeck LLC | $143 |
| Averitas Pharma Inc. | $137 |
| ABBVIE INC. | $96 |
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: 2011-03-01
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 |
|---|---|---|---|---|
| I20110301000448 | 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 | 425 | 172 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 126 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 52 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 17 | 11 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 12 | 11 | $0 |
Insurance plans in this area (ZIP 84095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| - | UT | |
| Pain Management | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Family Practice | UT | |
| Internal Medicine | UT |
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