DR. LANE CLAYTON THAUT (D.O.) – Emergency Medicine Physician, NPI 1174984058

DR. LANE CLAYTON THAUT (D.O.) is a healthcare provider. based in Park city, Utah. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 17163 (CA). The NPI Number for DR. LANE CLAYTON THAUT (D.O.) is 1174984058

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. LANE CLAYTON THAUT (D.O.)
NPI
1174984058
Phone
Not provided
Address
1743 SIDEWINDER DR UNIT 114
Enumeration Date
18 March 2016
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8086676161
Graduation Year
2016 (10 years ago)
PAC ID
2567792005
Group Practice PAC ID
3779877485
Professional Enrollment ID
I20201019001798
Address ID
HI967322986KA270XXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Digital endpointsOther names

487 EMERGENCY MEDICINE in UT

Provider Addresses for DR. LANE CLAYTON THAUT (D.O.)

  • 1743 SIDEWINDER DR UNIT 114

    PARK CITY, UT 840607322

    Phone:

    Type: Mailing

  • 1743 S SIDEWINDER DRIVE UNIT 114

    PARK CITY, UT 84060

    Phone: (307) 840-9834

    Type: Location

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone:

    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: 2025-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20200506001496IEmergency MedicineCATBD
I20201019001798IEmergency MedicineHITBD
I20230912002376IFamily PracticeWITBD
I20240910002253IEmergency MedicineCOTBD
I20241230001524IEmergency MedicineUTTBD
I20250929001062IEmergency MedicineNYTBD

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
99203New patient office or other outpatient visit, 30-44 minutes126126$0
99213Established patient office or other outpatient visit, 20-29 minutes10289$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4846$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99214Established patient office or other outpatient visit, 30-39 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 84060)

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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: 3779877485View full group profile
NameSpecialtyState
Nurse PractitionerHI
Nurse PractitionerUT
Nurse PractitionerHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Family PracticeHI
Nurse PractitionerHI
Physician AssistantOR
Nurse PractitionerHI
Physician AssistantMO

Reviews

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Frequently asked questions

What is the standard ID for DR. LANE CLAYTON THAUT (D.O.) in the U.S.?
In the U.S., DR. LANE CLAYTON THAUT (D.O.) is identified by NPI 1174984058.
Is DR. LANE CLAYTON THAUT (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. LANE CLAYTON THAUT (D.O.) as active.
What services align with DR. LANE CLAYTON THAUT (D.O.)'s listing?
DR. LANE CLAYTON THAUT (D.O.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. LANE CLAYTON THAUT (D.O.)?
DR. LANE CLAYTON THAUT (D.O.) shows a connection to Park City, Utah in registry-derived data.
Who maintains DR. LANE CLAYTON THAUT (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.