TRACY ANDERSON-DAWSON (PA-C) – Physician Assistant, NPI 1609104629
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for TRACY ANDERSON-DAWSON (PA-C)
9450 S 1300 E
Sandy, UT 840945555
Phone: (801) 501-2110
Type: Location
1746 COLE BLVD STE 100
LAKEWOOD, CO 804013208
Phone:
Type: Mailing
Redwood Road, Salt Lake City, Salt Lake County, Utah, 84134, United States
SALT LAKE CITY, UT 841045101
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-24
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 |
|---|---|---|---|---|
| I20100223000439 | I | Physician Assistant | UT | TBD |
| I20250710004337 | I | Physician Assistant | CO | TBD |
| I20250924001009 | I | Physician Assistant | MT | 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 | 69 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 81003 | Automated urinalysis test | 32 | 32 | $0 |
| 71046 | X-ray of chest, 2 views | 20 | 20 | $0 |
Insurance plans in this area (ZIP 84094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology, Interventional Radiology | CO | |
| Diagnostic Radiology | CO | |
| - | CO | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO |
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