MR. MARK A HYDE (PA-C) – Physician Assistant, NPI 1821018854
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 MR. MARK A HYDE (PA-C)
HELIX BLDG 5050
30 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Phone: (801) 581-2955
Type: Location
284 LEWIS PARK DR
BOUNTIFUL, UT 840105748
Phone: (801) 581-2955
Fax: (801) 585-3903
Type: Mailing
Cancer Research South, 2000, Circle of Hope Drive, Salt Lake City, Salt Lake County, Utah, 84103, United States
SALT LAKE CITY, UT 841125550
Phone: (801) 587-4555
Fax: (801) 585-3903
Type: Location
West 1300 South, Woods Cross, Davis County, Utah, 84087, United States
WOODS CROSS, UT 840872435
Phone: (801) 587-4555
Fax: (801) 585-3903
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,445.
Total Amount is formed as General ($1,445) + Research ($0) + Ownership ($0) = $1,445.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: LEO Pharma Inc. ($1,103).
Total Amount
$1,445
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $1,103 |
| Dermavant Sciences, Inc. | $122 |
| Arcutis Biotherapeutics, Inc. | $86 |
| ABBVIE INC. | $33 |
| Novartis Pharmaceuticals Corporation | $28 |
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: 2025-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070605000499 | I | Physician Assistant | UT | TBD |
| I20250227001512 | I | Physician Assistant | WY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | CA | |
| P A T H O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | PA | |
| - | UT |
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