Tanner Lee Frey, PHYSICIAN ASSISTANT
NPI 1164909479ActiveIndividual· Physician Assistant· Provo, UT
Physician Assistant (PHYSICIAN ASSISTANT) in Provo, Utah, licensed in UT, with an NPI issued in July 2018. 80 Medicare patients in 2024, $5,988 paid; nearly all of their 275 Part D prescriptions were generic (96%).
Overview
| NPI | 1164909479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Jul 19, 2018 |
| Last updated in NPPES | Jul 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10931513-1206 | UT |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | 1153249 | 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 (AZ); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 114 across 14 procedure codes |
| Paid by Medicare | $5,988 |
Part D prescriptions in 2024
| Prescriptions (claims) | 275 · 276 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $2,623 |
| Generic share | 96% of claims |
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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