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NPI 1124593934ActiveIndividual· Physician Assistant· Salt Lake City, UT
Physician Assistant with University of Utah Adult Services, practicing in Salt Lake City, Utah. Their prescriptions cost Medicare Part D more than their services did: $2,194,538 for 382 claims, against $24,181 paid for services in 2024. Sobi, Inc reported $130.62 in payments in 2025, mostly food and beverage. Lists Intermountain Health Logan Regional Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1124593934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 8, 2018 |
| Last updated in NPPES | Nov 10, 2021 |
| Certified by provider | Nov 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 | 197 |
|---|---|
| Services billed | 542 across 10 procedure codes |
| Paid by Medicare | $24,181 |
Part D prescriptions in 2024
| Prescriptions (claims) | 382 · 418 30-day fills |
|---|---|
| Patients | 90 |
| Total drug cost | $2,194,538 |
| Generic share | 62% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- University of Utah Adult ServicesFarmington, UT · 1,788 clinicians
Hospital affiliations
- Intermountain Health Logan Regional HospitalLogan, UT
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
- 2025$130.62 · 1 payment from 1 company
- 2024$910.33 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sobi, Inc | $130.62 | 1 |
What the 2025 payments were for
- Food and Beverage$130.62 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 470 physician assistants in Salt Lake City · All physician assistants in Utah