FREDRICK C WITTLEDER (PA) – Surgical Physician Assistant, NPI 1205195088
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for FREDRICK C WITTLEDER (PA)
3000 N Triumph Blvd Ste 110
Lehi, UT 840437186
Phone: (385) 345-3555
Fax: (385) 345-3554
Type: Location
4465 S 900 E
STE 275
MILLCREEK, UT 841242644
Phone: (651) 439-8807
Fax: (651) 439-0232
Type: Mailing
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 550822177
Phone: (651) 439-8807
Fax: (651) 439-0232
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,754.
Total Amount is formed as General ($1,754) + Research ($0) + Ownership ($0) = $1,754.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boston Scientific Corporation ($837).
Total Amount
$1,754
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,754
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $837 |
| Medtronic, Inc. | $508 |
| Averitas Pharma Inc. | $90 |
| PFIZER INC. | $82 |
| VERTEX PHARMACEUTICALS INCORPORATED | $80 |
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: 2019-05-31
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 |
|---|---|---|---|---|
| I20190531001545 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 286 | 111 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 77 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 84043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
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