MARTIN HOWARD MEMMOTT (PA) – Physician Assistant, NPI 1972780534
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 MARTIN HOWARD MEMMOTT (PA)
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
555 W SR 164
SALEM, UT 84653
Phone: (801) 373-7350
Fax: (801) 465-8898
Type: Location
960 W 800 N
OREM, UT 840573626
Phone: (801) 226-6184
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $710.
Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.
Last reported payment date: 2023-11-14 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($557).
Total Amount
$710
General + Research + Ownership
Payments
16
Total payment records
General Amount
$710
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $557 |
| Medtronic, Inc. | $72 |
| Radius Health, Inc. | $42 |
| Boston Scientific Corporation | $25 |
| SPR Therapeutics, Inc | $14 |
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: 2014-09-08
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 |
|---|---|---|---|---|
| I20140908002139 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 51 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Pain Management | UT | |
| Nurse Practitioner | UT | |
| Pain Management, Anesthesiology | TX | |
| Physician Assistant | UT | |
| Anesthesiology, Pain Management | UT | |
| Physician Assistant | UT |
Reviews
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