DAVID S ANDERSON (PAC) – Physician Assistant, NPI 1356342539
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for DAVID S ANDERSON (PAC)
4815, South Center Street, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841074814
Phone: (801) 262-2443
Fax: (801) 262-8869
Type: Location
6321 S REDWOOD RD STE 201
SALT LAKE CITY, UT 841236972
Phone: (801) 265-2212
Fax: (801) 265-0103
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (801) 265-2212
Fax: (801) 265-0103
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: 2004-05-07
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 |
|---|---|---|---|---|
| I20040507001152 | 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 | 180 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 88 | $0 |
| 83036 | Hemoglobin a1c level | 77 | 61 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 46 | 46 | $0 |
| 81003 | Automated urinalysis test | 40 | 35 | $0 |
Insurance plans in this area (ZIP 84107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| Family Practice | NV | |
| - | UT | |
| Family Practice | UT | |
| - | UT | |
| Nurse Practitioner | FL | |
| Physician Assistant | UT | |
| Family Practice | NV | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
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