Marc K. Frederick
NPI 1083189831ActiveIndividual· Physician Assistant· Salt Lake City, UT
Physician Assistant in Salt Lake City, Utah, trained at University of Utah School of Medicine (class of 2019). 153 Medicare patients in 2024, $16,331 paid; nearly all of their 244 Part D prescriptions were generic (93%).
Overview
| NPI | 1083189831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 8, 2018 |
| Last updated in NPPES | Oct 8, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 212 across 16 procedure codes |
| Paid by Medicare | $16,331 |
Part D prescriptions in 2024
| Prescriptions (claims) | 244 · 248 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $3,869 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physician Assistant |
Medical group
- Emergency Physicians Integrated Care LLCTaylorsville, UT · 201 clinicians
Hospital affiliation
- Lakeview HospitalBountiful, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Salt Lake City
- 1003368283
- 1013538883
- 1023334240
- 1033980594
- 1063764629
- 1093591810
- 1104126887
- 1124593934
- 1124725304
- 1134497282
- 1134744014
- 1134751902
All 470 physician assistants in Salt Lake City · All physician assistants in Utah