ALBERT POPE (PA) – Physician Assistant, NPI 1164158127

ALBERT POPE (PA) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 7566261-1206 (UT). The NPI Number for ALBERT POPE (PA) is 1164158127

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ALBERT POPE (PA)
NPI
1164158127
Phone
(801) 357-4600
Address
395 W Cougar Blvd
Enumeration Date
1 August 2022
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8018125591
Graduation Year
2022 (4 years ago)
PAC ID
7315314986
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20221110002431
Address ID
UT846067311PR512XXPKWY400

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness95
Years active:3State licenses:1Other names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for ALBERT POPE (PA)

  • 395 W Cougar Blvd

    Provo, UT 846043311

    Phone: (801) 357-4600

    Type: Location

  • 972 N 600 E

    SPANISH FORK, UT 846601306

    Phone: (801) 465-4896

    Type: Location

  • 1055 N 500 W

    ATTN CREDENTIALING

    PROVO, UT 84604

    Phone: (801) 354-8225

    Type: Mailing

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 552 W 800 N

    OREM, UT 840573746

    Phone: (801) 764-0200

    Fax: (801) 764-0206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Lilly USA, LLC ($236).

Total Amount

$521

General + Research + Ownership

Payments

35

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-11-10

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
I20221110002431IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes10189$0
99214Established patient office or other outpatient visit, 30-39 minutes2826$0
81003Automated urinalysis test2421$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 7517868508View full group profile
NameSpecialtyState
-UT
-UT
Internal MedicineUT
Physician AssistantUT
Physician AssistantUT
Osteopathic Manipulative Medicine, Internal MedicineUT
Nurse PractitionerUT
Physician AssistantUT
Nurse PractitionerUT
Physician AssistantUT

Reviews

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Frequently asked questions

What identifier follows ALBERT POPE (PA) across health systems?
The NPI 1164158127 uniquely identifies ALBERT POPE (PA) in U.S. healthcare data.
Is ALBERT POPE (PA) currently accepting referrals based on NPI status?
Registry metadata lists ALBERT POPE (PA) as active.
What type of care does ALBERT POPE (PA) provide?
ALBERT POPE (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALBERT POPE (PA)?
ALBERT POPE (PA) is associated with Provo, Utah in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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