MR. LORIN LEITHEAD (APRN) – Family Nurse Practitioner, NPI 1164852745
Family Nurse Practitioner
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MR. LORIN LEITHEAD (APRN)
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
4095 E PONY EXPRESS PKWY
SUITE 1
EAGLE MOUNTAIN, UT 840055529
Phone: (801) 429-8037
Fax: (801) 753-7476
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 182 Open Payments records for all available years, with a total value of $2,800.
Total Amount is formed as General ($2,800) + Research ($0) + Ownership ($0) = $2,800.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: ABBVIE INC. ($930).
Total Amount
$2,800
General + Research + Ownership
Payments
182
Total payment records
General Amount
$2,800
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $930 |
| Takeda Pharmaceuticals U.S.A., Inc. | $340 |
| Janssen Biotech, Inc. | $324 |
| AIMMUNE THERAPEUTICS, INC. | $213 |
| Regeneron Healthcare Solutions, Inc. | $164 |
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: 2016-04-27
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 |
|---|---|---|---|---|
| I20160427001330 | I | Nurse Practitioner | 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 | 159 | 128 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 51 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 31 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 28 | 26 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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