BRIAN J PONTIUS (MPAS PA-C) – Physician Assistant, NPI 1356869879

BRIAN J PONTIUS (MPAS PA-C) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS PA-C. They hold a License No. 5228191-1206 (UT). The NPI Number for BRIAN J PONTIUS (MPAS PA-C) is 1356869879

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN J PONTIUS (MPAS PA-C)
NPI
1356869879
Phone
(801) 354-8225
Address
1055 N 500 W
Enumeration Date
5 September 2017
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8018125591
Graduation Year
2017 (9 years ago)
PAC ID
0143595991
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20171004003684
Address ID
UT846067311PR512XXPKWY400

Contacts

Secure Messaging
medreview@reverehealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for BRIAN J PONTIUS (MPAS PA-C)

  • Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    ATT: CREDENTIALING

    PROVO, UT 84604

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • 4095, East Pony Express Parkway, Eagle Mountain, Utah County, Utah, 84005, United States

    EAGLE MOUNTAIN, UT 840055529

    Phone: (801) 429-8037

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $2,621.

Total Amount is formed as General ($2,621) + Research ($0) + Ownership ($0) = $2,621.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: PFIZER INC. ($534).

Total Amount

$2,621

General + Research + Ownership

Payments

141

Total payment records

General Amount

$2,621

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2017-10-04

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
I20171004003684IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes220112$0
36415Insertion of needle into vein for collection of blood sample1514$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 7517868508View full group profile

Reviews

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Frequently asked questions

How do I look up BRIAN J PONTIUS (MPAS PA-C) by NPI?
Use NPI 1356869879 when you need to reference BRIAN J PONTIUS (MPAS PA-C) in forms, claims, or directories.
Is BRIAN J PONTIUS (MPAS PA-C) active in the national directory?
BRIAN J PONTIUS (MPAS PA-C)'s public NPI profile is in an active state.
What does BRIAN J PONTIUS (MPAS PA-C) treat or focus on?
Patients typically see BRIAN J PONTIUS (MPAS PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is BRIAN J PONTIUS (MPAS PA-C)'s primary listing?
We display Provo, Utah because that is what the record indicates for BRIAN J PONTIUS (MPAS PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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