LANDRY THOMPSON – Physician Assistant, NPI 1629751920

LANDRY THOMPSON is a healthcare provider. based in Orem, Utah. specializing in PHYSICIAN ASSISTANT. The NPI Number for LANDRY THOMPSON is 1629751920

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LANDRY THOMPSON
NPI
1629751920
Phone
Not provided
Address
1871 W SPRINGWATER LN
Enumeration Date
11 August 2023
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012524888
Graduation Year
2024 (2 years ago)
PAC ID
2567906555
Group Practice PAC ID
1658763073
Professional Enrollment ID
I20240701004108
Address ID
UT840974261OR980XX800X302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for LANDRY THOMPSON

  • 1871 W SPRINGWATER LN

    OREM, UT 840594901

    Phone:

    Type: Mailing

  • 800 W UNIVERSITY PKWY

    OREM, UT 840586703

    Phone: (801) 863-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Smith+Nephew, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240701004108IPhysician AssistantUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84059)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658763073View full group profile
NameSpecialtyState
Orthopedic SurgeryUT

Reviews

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Frequently asked questions

How is LANDRY THOMPSON identified in CMS data?
CMS-hosted NPPES data lists LANDRY THOMPSON with NPI 1629751920.
Is LANDRY THOMPSON still practicing?
LANDRY THOMPSON is currently listed as active in the public NPI registry.
What healthcare role does LANDRY THOMPSON hold?
Scheduling teams often label LANDRY THOMPSON under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect LANDRY THOMPSON on a map?
Expect Orem, Utah as a primary anchor for LANDRY THOMPSON unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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