MRS. BREONY STODDARD (PA-C) – Medical Physician Assistant, NPI 1578711057
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for MRS. BREONY STODDARD (PA-C)
1300 East, Sandy, Salt Lake County, Utah, 84094, United States
SUITE 101
SANDY, UT 840944000
Phone: (801) 576-8855
Type: Location
74 E KIMBALLS LN STE 260
DRAPER, UT 840205009
Phone: (801) 895-3146
Fax: (801) 850-6611
Type: Location
PO BOX 198560
ATLANTA, GA 303848560
Phone:
Type: Mailing
520 MEDICAL DR STE 300
BOUNTIFUL, UT 840108925
Phone: (801) 292-1422
Fax: (801) 296-0436
Type: Mailing
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 $446.
Total Amount is formed as General ($446) + Research ($0) + Ownership ($0) = $446.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Lilly USA, LLC ($90).
Total Amount
$446
General + Research + Ownership
Payments
25
Total payment records
General Amount
$446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $90 |
| ABBVIE INC. | $46 |
| Novo Nordisk Inc | $45 |
| Pacira Pharmaceuticals Incorporated | $26 |
| Sumitomo Pharma America, Inc. | $24 |
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: 2010-08-23
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 |
|---|---|---|---|---|
| I20100823000395 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 43 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 28 | $0 |
| 81003 | Automated urinalysis test | 17 | 14 | $0 |
Insurance plans in this area (ZIP 84094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Internal Medicine | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Family Practice | CO | |
| Family Practice | UT | |
| Family Practice | UT | |
| Internal Medicine | UT |
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