David Maurice Blackwell, PA-C
NPI 1184867574ActiveIndividual· Physician Assistant· Provo, UT
Physician Assistant (PA-C) with Revere Health PC, practicing in Provo, Utah. 137 Medicare patients in 2024, $21,607 paid; all of their 97 Part D prescriptions were generic. Orthofix Medical, Inc. reported $68.54 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1184867574 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 14, 2009 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Mar 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5505835-1206 | 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 | 137 |
|---|---|
| Services billed | 796 across 51 procedure codes |
| Paid by Medicare | $21,607 |
Part D prescriptions in 2024
| Prescriptions (claims) | 97 · 97 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $616.38 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Industry payments (Open Payments)
- 2025$68.54 · 10 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Orthofix Medical, Inc. | $68.54 | 10 |
What the 2025 payments were for
- Food and Beverage$68.54 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Provo
- 1821903261
- 1831650167
- 1134662729
- 1821592890
- 1023569241
- 1699048579
- 1023407848
- 1134828965
- 1912306432
- 1003975145
- 1134744287
- 1144622440