MR. JAY CANNON LAMBERT (PA) – Physician Assistant, NPI 1770677478

MR. JAY CANNON LAMBERT (PA) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 413 (MT). The NPI Number for MR. JAY CANNON LAMBERT (PA) is 1770677478

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAY CANNON LAMBERT (PA)
NPI
1770677478
Phone
(801) 354-8225
Address
1055 N 500 W
Enumeration Date
3 October 2006
Last Update Date
12 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8018125591
Graduation Year
2004 (22 years ago)
PAC ID
6406892405
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20151002001019
Address ID
UT846067311PR512XXPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for MR. JAY CANNON LAMBERT (PA)

  • Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    ATTN: CREDENTIALING

    PROVO, UT 84604

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • 4095, East Pony Express Parkway, Eagle Mountain, Utah County, Utah, 84005, United States

    STE 1

    EAGLE MOUNTAIN, UT 840055529

    Phone: (801) 429-8037

    Fax: (801) 753-7476

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($53).

Total Amount

$137

General + Research + Ownership

Payments

6

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-10-02

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
I20151002001019IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6633$0
36415Insertion of needle into vein for collection of blood sample3024$0
80053Blood test, comprehensive group of blood chemicals2825$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2725$0
80061Blood test, lipids (cholesterol and triglycerides)2222$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 7517868508View full group profile

Reviews

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Frequently asked questions

Can I cross-check MR. JAY CANNON LAMBERT (PA) using NPI 1770677478?
NPI 1770677478 belongs to MR. JAY CANNON LAMBERT (PA); compare other details if you need extra assurance.
Is MR. JAY CANNON LAMBERT (PA) shown as active in public data?
Registry records indicate MR. JAY CANNON LAMBERT (PA) maintains an active NPI.
How would a patient describe MR. JAY CANNON LAMBERT (PA)'s focus?
For MR. JAY CANNON LAMBERT (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Utah is MR. JAY CANNON LAMBERT (PA) registered?
Use Provo, Utah as the headline location for MR. JAY CANNON LAMBERT (PA) here.
Does MR. JAY CANNON LAMBERT (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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