CONNER DONALD SUGRUE (PA-C) – Physician Assistant, NPI 1508481706

CONNER DONALD SUGRUE (PA-C) is a healthcare provider. based in American fork, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12462625-1206 (UT). The NPI Number for CONNER DONALD SUGRUE (PA-C) is 1508481706

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CONNER DONALD SUGRUE (PA-C)
NPI
1508481706
Phone
(385) 477-7596
Address
66 E 100 S
Enumeration Date
12 June 2020
Last Update Date
29 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013574600
Graduation Year
2021 (5 years ago)
PAC ID
7113315094
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20211026001754
Address ID
UT846315137FI700XX99XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for CONNER DONALD SUGRUE (PA-C)

  • 66 E 100 S

    AMERICAN FORK, UT 840032322

    Phone: (385) 477-7596

    Type: Mailing

  • 275 W 200 N

    LINDON, UT 840425009

    Phone: (801) 769-2571

    Fax: (801) 443-1164

    Type: Mailing

  • 707 E MILL RD STE 303

    VINEYARD, UT 840595730

    Phone: (801) 224-1300

    Fax: (801) 225-3236

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $534.

Total Amount is formed as General ($534) + Research ($0) + Ownership ($0) = $534.

Last reported payment date: 2024-02-19 • Largest payer in this snapshot: ABBVIE INC. ($256).

Total Amount

$534

General + Research + Ownership

Payments

31

Total payment records

General Amount

$534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211026001754IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes3025$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for CONNER DONALD SUGRUE (PA-C)?
CONNER DONALD SUGRUE (PA-C) — NPI 1508481706 — is the standard way to identify this listing.
Is CONNER DONALD SUGRUE (PA-C) still practicing?
CONNER DONALD SUGRUE (PA-C) is currently listed as active in the public NPI registry.
What is CONNER DONALD SUGRUE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for CONNER DONALD SUGRUE (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is CONNER DONALD SUGRUE (PA-C) based?
CONNER DONALD SUGRUE (PA-C) is tied to American Fork, Utah in the data we show; additional addresses may exist on the full record.
Why does CONNER DONALD SUGRUE (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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