MR. JUSTIN THOMAS HEWLETT (PA-C) – Physician Assistant, NPI 1467934737
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for MR. JUSTIN THOMAS HEWLETT (PA-C)
14629 S PORTER ROCKWELL BLVD STE 102
BLUFFDALE, UT 840651968
Phone: (801) 410-1100
Fax: (844) 689-3196
Type: Location
South Matterhorn Drive, Alpine, Utah County, Utah, 84004, United States
ALPINE, UT 84004
Phone: (801) 227-9152
Type: Mailing
1912, West 930 North, Pleasant Grove, Utah County, Utah, 84062, United States
PLEASANT GROVE, UT 84062
Phone: (801) 768-2800
Fax: (801) 766-5938
Type: Location
5848 S FASHION BLVD
STE 110
SALT LAKE CITY, UT 841076175
Phone: (801) 314-4119
Fax: (801) 314-4119
Type: Mailing
310 N 850 E STE A
LEHI, UT 840438623
Phone: (801) 331-8554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 164 Open Payments records for all available years, with a total value of $2,870.
Total Amount is formed as General ($2,870) + Research ($0) + Ownership ($0) = $2,870.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($438).
Total Amount
$2,870
General + Research + Ownership
Payments
164
Total payment records
General Amount
$2,870
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $438 |
| Xeris Pharmaceuticals, Inc. | $416 |
| Lilly USA, LLC | $358 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $234 |
| SANOFI-AVENTIS U.S. LLC | $175 |
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: 2021-05-27
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 |
|---|---|---|---|---|
| I20210527002867 | 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 84065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Endocrinology, Internal Medicine | UT | |
| - | UT |
Reviews
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