LESLIE K IVERSON (PA) – Physician Assistant, NPI 1417967035
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for LESLIE K IVERSON (PA)
4337 S BUTTERNUT RD
HOLLADAY, UT 841243621
Phone: (480) 570-4922
Type: Mailing
7410 S CREEK RD STE 100
SANDY, UT 840936151
Phone: (801) 816-1010
Fax: (801) 515-0045
Type: Location
14780, West Mountain View Boulevard, Sun City Grand, Surprise, Maricopa County, Arizona, 85374, United States
SUITE 110
SURPRISE, AZ 853747280
Phone: (623) 374-7774
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,607.
Total Amount is formed as General ($1,607) + Research ($0) + Ownership ($0) = $1,607.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($449).
Total Amount
$1,607
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,607
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $449 |
| Dexcom, Inc. | $226 |
| Novartis Pharmaceuticals Corporation | $212 |
| Esperion Therapeutics, Inc. | $170 |
| Bayer Healthcare Pharmaceuticals Inc. | $116 |
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: 2023-10-26
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 |
|---|---|---|---|---|
| I20231026004272 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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