MR. DEVON E. DAHLKE (PA-C) – Physician Assistant, NPI 1598866691
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
Provider Addresses for MR. DEVON E. DAHLKE (PA-C)
PO BOX 25535
SALT LAKE CITY, UT 841250535
Phone: (866) 898-7136
Type: Mailing
47 Doc Perkes Rd
Afton, WY 83110
Phone: (307) 885-3637
Type: Location
2761 Commercial Way
Rock Springs, WY 829014753
Phone: (307) 382-3064
Type: Location
1404 Pomerelle Ave Ste A1
Burley, ID 833182013
Phone: (208) 878-8783
Type: Location
700 S Highway 91
Richmond, UT 843331209
Phone: (435) 294-3215
Type: Location
1952 Harrison Drive
Evanston, WY 82930
Phone: (307) 288-0404
Type: Location
1201 S Main St Ste 110
Logan, UT 843218504
Phone: (435) 787-8504
Type: Location
507 S Main St
Hailey, ID 833338929
Phone: (208) 788-4122
Type: Location
740 S Woodruff Ave
Idaho Falls, ID 834015285
Phone: (208) 542-9111
Fax: (208) 542-9114
Type: Location
7017 S. Daisy Lane
Idaho Falls, ID 83402
Phone: (208) 534-5878
Type: Location
740 S WOODRUFF AVE
IDAHO FALLS, ID 834015285
Phone: (208) 542-9111
Fax: (208) 542-9114
Type: Mailing
630 E 1400 N STE 150
LOGAN, UT 843412549
Phone: (435) 915-4465
Fax: (435) 514-4556
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Abbott Laboratories ($66).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $66 |
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: 2018-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050110001048 | I | Physician Assistant | UT | TBD |
| I20161130002266 | I | Physician Assistant | ID | TBD |
| I20180723002302 | I | Physician Assistant | WY | 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 | 13 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CT | |
| Nurse Practitioner | ID | |
| Physician Assistant | WA | |
| - | ID | |
| Physician Assistant | FL | |
| Physician Assistant | ID |
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