MR. JACK RICHARD SAUNDERS (MPAS, PA-C) – Medical Physician Assistant, NPI 1801175807
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for MR. JACK RICHARD SAUNDERS (MPAS, PA-C)
1168 CAPISTRANO DR
SALT LAKE CITY, UT 841161727
Phone: (435) 764-8457
Type: Mailing
220 MILLPOND
STANSBURY PARK, UT 840749745
Phone: (435) 843-3000
Type: Location
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3505
Type: Mailing
9001 S 3200 W
WEST JORDAN, UT 840889621
Phone: (801) 965-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,271.
Total Amount is formed as General ($1,271) + Research ($0) + Ownership ($0) = $1,271.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: UCB, Inc. ($281).
Total Amount
$1,271
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,271
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $281 |
| Novartis Pharmaceuticals Corporation | $243 |
| Sun Pharmaceutical Industries Inc. | $169 |
| ABBVIE INC. | $154 |
| Janssen Biotech, Inc. | $98 |
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: 2014-02-20
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 |
|---|---|---|---|---|
| I20140220001461 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 623 | 144 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 205 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 235 | 207 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 106 | 106 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 67 | 67 | $0 |
Insurance plans in this area (ZIP 84116)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | UT | 17003 | Destruction of 2-14 skin growths | 401 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| - | UT | |
| Pain Management | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Family Practice | UT | |
| Internal Medicine | UT |
Reviews
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