JOHN ZACHARY (PA) – Physician Assistant, NPI 1871580829

JOHN ZACHARY (PA) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 117073-1206 (UT). The NPI Number for JOHN ZACHARY (PA) is 1871580829

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ZACHARY (PA)
NPI
1871580829
Phone
(801) 357-7291
Address
1055 N 300 W
Enumeration Date
4 October 2005
Last Update Date
26 April 2016

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8017796200
Graduation Year
2003 (23 years ago)
PAC ID
2961466800
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20041119000089
Address ID
UT840411611LA2075X1200300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Loading map...

Provider Addresses for JOHN ZACHARY (PA)

  • 1055, North 300 West, North Park, Provo, Utah County, Utah, 84604, United States

    STE. 500

    PROVO, UT 846043344

    Phone: (801) 357-7291

    Fax: (801) 357-7919

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $770.

Total Amount is formed as General ($770) + Research ($0) + Ownership ($0) = $770.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($540).

Total Amount

$770

General + Research + Ownership

Payments

10

Total payment records

General Amount

$770

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2004-11-19

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
I20041119000089IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes187168$0
99214Established patient office or other outpatient visit, 30-39 minutes3938$0
99215Established patient office or other outpatient visit, 40-54 minutes3230$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

Loading plans...

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: 1850209420View full group profile
NameSpecialtyState
Emergency MedicineUT
-OR
Diagnostic RadiologyUT
Family PracticeUT
H O S P I T A L I S TUT
O B S T E T R I C S/ G Y N E C O L O G YUT
-UT
-UT
-UT
Family PracticeUT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify JOHN ZACHARY (PA) for billing?
Administrative and clinical systems typically use NPI 1871580829 for JOHN ZACHARY (PA).
Quick check: is JOHN ZACHARY (PA) active?
Public NPPES data shows JOHN ZACHARY (PA) with an active NPI status right now.
What services align with JOHN ZACHARY (PA)'s listing?
JOHN ZACHARY (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to JOHN ZACHARY (PA)?
The directory associates JOHN ZACHARY (PA) with Provo, Utah. Check all listed addresses for suites or satellite offices.
Why is information missing for JOHN ZACHARY (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States of America
NPI: 1619970647

LISA BYRD (P.A.-C.)

Physician Assistant
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
NPI: 1962405522

JEFFREY D PIERSON (PA-C)

Physician Assistant
PO BOX 27688
NPI: 1861490609

BRET D HILTON (PA)

Physician Assistant
280, River Park Drive, Riverbottoms, Caryhurst, Provo, Utah County, Utah, 84604, United States
NPI: 1467451609

STEVEN R NIELSON (PA)

Physician Assistant
West River Park Drive, Riverbottoms, Caryhurst, Provo, Utah County, Utah, 84604, United States
NPI: 1184623217

TRAVIS KYLE LAYNE (PAC)

Physician Assistant
Tennova Healthcare - Harton, 1801, North Jackson Street, Flowertown, Tullahoma, Coffee County, Tennessee, 37388, United States
NPI: 1902894389

GREG E HALLIDAY (PA-C)

Physician Assistant
PO BOX 27128
NPI: 1366431918

BRUCE A MCPHERSON (PA)

Physician Assistant
330 Falcon Ridge Pkwy Ste 4000A
NPI: 1265419451

JARED A GREEN (PA-C)

Physician Assistant
1055 NORTH 500 WEST ATTN: CREDENTIALING
NPI: 1134198419