AUSTIN EDGAR BRANNON – Physician Assistant, NPI 1215402631
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for AUSTIN EDGAR BRANNON
14678 S TEN SLEEP CIR
BLUFFDALE, UT 840653057
Phone: (801) 243-1041
Type: Mailing
2580 S 300 E
SOUTH SALT LAKE, UT 841153241
Phone: (801) 243-1041
Type: Location
3451 S. 5600 W.
SUITE F
WVC, UT 84020
Phone: (801) 957-0900
Fax: (801) 966-4984
Type: Location
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: 2021-10-01
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 |
|---|---|---|---|---|
| I20211001002501 | 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 | 19 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
| 81003 | Automated urinalysis test | 13 | 13 | $0 |
Insurance plans in this area (ZIP 84065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Emergency Medicine | GA | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT |
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