CORY MICHAEL RICE (PA-C) – Physician Assistant, NPI 1336610450

CORY MICHAEL RICE (PA-C) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11046461-1206 (UT). The NPI Number for CORY MICHAEL RICE (PA-C) is 1336610450

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
CORY MICHAEL RICE (PA-C)
NPI
1336610450
Phone
(801) 369-1085
Address
1247 S 860 W
Enumeration Date
16 December 2018
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8015723750
Graduation Year
2018 (8 years ago)
PAC ID
9032449996
Group Practice PAC ID
5294899456
Professional Enrollment ID
I20190919002542
Address ID
UT840203221DR121761000303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for CORY MICHAEL RICE (PA-C)

  • 1247, South 860 West, Lakewood, Provo, Utah County, Utah, 84601, United States

    PROVO, UT 846016516

    Phone: (801) 369-1085

    Type: Mailing

  • 1000 East, Draperville, Draper, Salt Lake County, Utah, 84020, United States

    DRAPER, UT 840203221

    Phone: (801) 572-3750

    Fax: (801) 572-1097

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 148 Open Payments records for all available years, with a total value of $2,407.

Total Amount is formed as General ($2,407) + Research ($0) + Ownership ($0) = $2,407.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($724).

Total Amount

$2,407

General + Research + Ownership

Payments

148

Total payment records

General Amount

$2,407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-09-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190919002542IPhysician AssistantUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84601)

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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: 5294899456View full group profile
NameSpecialtyState
Physician AssistantUT
Nurse PractitionerUT
Nurse PractitionerUT
Physician AssistantUT
Family PracticeNM

Reviews

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Frequently asked questions

Does CORY MICHAEL RICE (PA-C) have a public NPI I can cite?
Public records show CORY MICHAEL RICE (PA-C) under NPI 1336610450.
Is CORY MICHAEL RICE (PA-C)'s NPI status active today?
Active status means CORY MICHAEL RICE (PA-C)'s NPI record is not deactivated in the public file.
What services align with CORY MICHAEL RICE (PA-C)'s listing?
CORY MICHAEL RICE (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to CORY MICHAEL RICE (PA-C)?
CORY MICHAEL RICE (PA-C) shows a connection to Provo, Utah in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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