WILLIAM R. MATHIE (PA) – Surgical Physician Assistant, NPI 1255517488
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WILLIAM R. MATHIE (PA)
6340 S 3000 E Ste 200
Cottonwood Heights, UT 841213552
Phone: (801) 743-4500
Fax: (435) 655-2388
Type: Location
380 E 1500 S Ste 103
Heber City, UT 840323940
Phone: (435) 655-6600
Fax: (435) 655-2388
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
121, North 500 West, Dixon, Provo, Utah County, Utah, 84601, United States
PROVO, UT 846043305
Phone: (801) 373-7350
Fax: (801) 812-5401
Type: Location
900 ROUND VALLEY DR STE 100
PARK CITY, UT 840607552
Phone: (435) 655-6600
Fax: (435) 655-2388
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($89).
Total Amount
$155
General + Research + Ownership
Payments
5
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Heron Therapeutics, Inc. | $89 |
| Bioventus LLC | $49 |
| Abbott Laboratories | $17 |
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: 2008-03-13
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 |
|---|---|---|---|---|
| I20080313000116 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 166 | 28 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 122 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 75 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 31 | 23 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 29 | 21 | $0 |
Insurance plans in this area (ZIP 84121)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | UT | 73630 | X-ray of foot, minimum of 3 views | 74 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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