HEATHER B ALLRED (PA-C) – Physician Assistant, NPI 1104859149
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
Provider Addresses for HEATHER B ALLRED (PA-C)
711 Onyx St
Kemmerer, WY 831013214
Phone: (307) 877-4401
Fax: (307) 877-3236
Type: Location
1325 W South Jordan Pkwy Ste 103
South Jordan, UT 840959060
Phone: (801) 390-4536
Fax: (801) 987-8467
Type: Location
3240 N 1800 E
LOGAN, UT 843418312
Phone: (801) 201-9151
Type: Mailing
517 W 100 N STE 103
PROVIDENCE, UT 843329824
Phone: (435) 554-8442
Fax: (435) 500-9167
Type: Location
South Lincoln Medical Center, 711, Onyx Street, Kemmerer, Lincoln County, Wyoming, 83101, United States
KEMMERER, WY 831013214
Phone: (307) 877-4401
Fax: (307) 877-3236
Type: Mailing
101, North 200 East, Logan, Cache County, Utah, 84321, United States
NORTH LOGAN, UT 84341
Phone: (435) 787-0560
Fax: (435) 752-4673
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,906.
Total Amount is formed as General ($1,906) + Research ($0) + Ownership ($0) = $1,906.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: LEO Pharma Inc. ($791).
Total Amount
$1,906
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,906
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $791 |
| REVANCE THERAPEUTICS, INC. | $269 |
| UCB, Inc. | $153 |
| ABBVIE INC. | $145 |
| Novartis Pharmaceuticals Corporation | $130 |
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 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20061006000410 | I | Physician Assistant | UT | TBD |
| I20200908002506 | I | Physician Assistant | WY | TBD |
| I20250227000996 | I | Physician Assistant | ID | 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 | 1,388 | 198 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 394 | 267 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 267 | 213 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 168 | 139 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 143 | 116 | $0 |
Insurance plans in this area (ZIP 83101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID |
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