DAVID ANDERSON (PA-C) – Physician Assistant, NPI 1417500158
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for DAVID ANDERSON (PA-C)
609, West 1600 South, Woods Cross, Davis County, Utah, 84087, United States
WOODS CROSS, UT 840871606
Phone: (801) 784-2111
Fax: (844) 670-1991
Type: Mailing
211, Earl Street, Leoti, Wichita County, Kansas, 67861, United States
LEOTI, KS 678619620
Phone: (620) 375-2233
Type: Location
1455 S 500 W
STE B
BOUNTIFUL, UT 84010
Phone: (801) 784-2111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Amgen Inc. ($28).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $28 |
| AstraZeneca Pharmaceuticals LP | $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: 2025-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220902001124 | I | Physician Assistant | ID | TBD |
| I20250425001679 | 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 | 152 | 115 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 91 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 58 | 58 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 41 | 35 | $0 |
| 81002 | Urinalysis, manual test | 22 | 19 | $0 |
Insurance plans in this area (ZIP 84087)
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