TARA LEE DALTON (PA C) – Medical Physician Assistant, NPI 1770579146
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TARA LEE DALTON (PA C)
Bear River Medical Arts, 300, West 1400 South, Garland, Box Elder County, Utah, 84312, United States
GARLAND, UT 843129393
Phone: (435) 257-2469
Fax: (435) 257-2434
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $650.
Total Amount is formed as General ($650) + Research ($0) + Ownership ($0) = $650.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($195).
Total Amount
$650
General + Research + Ownership
Payments
37
Total payment records
General Amount
$650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-10-12
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 |
|---|---|---|---|---|
| I20051012000966 | 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 | 150 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 63 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $0 |
| 81003 | Automated urinalysis test | 39 | 23 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 13 | 11 | $0 |
Insurance plans in this area (ZIP 84312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
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