JAMIE COY GRANGE (PA-C) – Medical Physician Assistant, NPI 1528438140
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for JAMIE COY GRANGE (PA-C)
2380 N 400 E
Suite D
North Logan, UT 843416000
Phone: (435) 753-7880
Type: Location
530 N 1420 E
LOGAN, UT 843214372
Phone: (435) 764-3116
Type: Mailing
2245 N 400 E
STE 301
LOGAN, UT 843411892
Phone: (435) 753-7880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $479.
Total Amount is formed as General ($479) + Research ($0) + Ownership ($0) = $479.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: GENZYME CORPORATION ($96).
Total Amount
$479
General + Research + Ownership
Payments
25
Total payment records
General Amount
$479
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-12-07
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 |
|---|---|---|---|---|
| I20151207002532 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 62 | $0 |
| 92504 | Exam of ear using a microscope | 49 | 39 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 33 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 84341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| O T O L A R Y N G O L O G Y | IA | |
| Physician Assistant | UT | |
| Physician Assistant | OH | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery | UT |
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