JEFFREY J PULLEY (PA-C) – Physician Assistant, NPI 1912233305
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for JEFFREY J PULLEY (PA-C)
PO BOX 27128
SUITE A
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
1350 N 500 E
Logan, UT 843412400
Phone: (435) 716-1980
Type: Location
North 400 East, North Logan, Cache County, Utah, 84341, United States
SUITE A
NORTH LOGAN, UT 843411788
Phone: (435) 787-2000
Fax: (435) 787-1913
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-04-26 • Largest payer in this snapshot: Orthofix Medical, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $16 |
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: 2009-12-10
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 |
|---|---|---|---|---|
| I20091210000712 | 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 | 104 | 58 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 79 | 30 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 47 | 25 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 36 | 16 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 34 | 29 | $0 |
Insurance plans in this area (ZIP 84127)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | UT | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | UT | |
| Physician Assistant | UT | |
| Diagnostic Radiology | UT | |
| Orthopedic Surgery | UT | |
| - | UT | |
| Orthopedic Surgery | UT | |
| Emergency Medicine, Sports Medicine | OK | |
| - | UT | |
| Orthopedic Surgery | UT | |
| Physician Assistant | UT |
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