Laurie Melissa Centeno, PAC
NPI 1093088445ActiveIndividual· Physician Assistant· Provo, UT
Physician Assistant (PAC) with Ihc Health Services Inc, practicing in Provo, Utah. 131 Medicare patients in 2024, $12,308 paid; nearly all of their 166 Part D prescriptions were generic (98%). Lists Intermountain Health Spanish Fork Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1093088445 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Feb 15, 2012 |
| Last updated in NPPES | Aug 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 8099494-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 131 |
|---|---|
| Services billed | 270 across 38 procedure codes |
| Paid by Medicare | $12,308 |
Part D prescriptions in 2024
| Prescriptions (claims) | 166 · 168 30-day fills |
|---|---|
| Patients | 123 |
| Total drug cost | $3,536 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliations
- Intermountain Health Spanish Fork HospitalSpanish Fork, UT
- Intermountain Health Utah Valley HospitalProvo, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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