ZACHARY GIBSON (PA) – Physician Assistant, NPI 1619566833
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for ZACHARY GIBSON (PA)
1055 N 500 W Bldg A
Provo, UT 846043305
Phone: (801) 354-8225
Type: Location
555 W State Road 164
Salem, UT 846535732
Phone: (385) 265-6050
Fax: (801) 798-7954
Type: Location
264 W 100 S
SANTAQUIN, UT 846558012
Phone: (385) 203-1250
Fax: (801) 812-5034
Type: Location
1055 N 500 W
ATTN CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Type: Mailing
1055 N 500 W BLDG A
PROVO, UT 846043305
Phone: (801) 354-8225
Type: Location
1930 W Sunset Blvd Ste 94
St George, UT 847706792
Phone: (385) 203-1250
Fax: (801) 812-5034
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,010.
Total Amount is formed as General ($1,010) + Research ($0) + Ownership ($0) = $1,010.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: ABBVIE INC. ($413).
Total Amount
$1,010
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,010
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $413 |
| Lilly USA, LLC | $175 |
| Novo Nordisk Inc | $88 |
| Janssen Pharmaceuticals, Inc | $63 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $45 |
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: 2021-02-16
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 |
|---|---|---|---|---|
| I20210216001275 | 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 | 146 | 115 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 70 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 83 | 60 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 60 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 52 | 52 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
Reviews
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