BROOK DAVID ROGERS (PA-C) – Physician Assistant, NPI 1427308899
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,684 PHYSICIAN ASSISTANT in AZ
Provider Addresses for BROOK DAVID ROGERS (PA-C)
1055 N 500 W
ATTN CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
18444 N 25TH AVE
SUITE 310
PHOENIX, AZ 850231261
Phone: (623) 537-5600
Fax: (866) 939-2673
Type: Mailing
1450 S DOBSON RD
SUITE A302
MESA, AZ 852024712
Phone: (623) 537-5600
Fax: (866) 939-2673
Type: Location
972 N 600 E
SPANISH FORK, UT 846601306
Phone: (385) 265-6060
Fax: (385) 203-0392
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $499.
Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($145).
Total Amount
$499
General + Research + Ownership
Payments
27
Total payment records
General Amount
$499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $145 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $106 |
| Lilly USA, LLC | $97 |
| AstraZeneca Pharmaceuticals LP | $81 |
| Organon LLC | $18 |
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: 2021-09-07
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 |
|---|---|---|---|---|
| I20140513000436 | I | Physician Assistant | TX | TBD |
| I20210907000633 | 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 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
Reviews
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