Ty Dallas Mangum, PA
NPI 1194340158ActiveIndividual· Physician Assistant· St George, UT
Physician Assistant (PA) with Ihc Health Services Inc, practicing in St George, Utah. 64 Medicare patients in 2024, $6,504 paid; nearly all of their 185 Part D prescriptions were generic (91%). Lists Intermountain Health Cedar City Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1194340158 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 15, 2020 |
| Last updated in NPPES | Jan 4, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085008692 | IL |
| 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 | 64 |
|---|---|
| Services billed | 69 across 9 procedure codes |
| Paid by Medicare | $6,504 |
Part D prescriptions in 2024
| Prescriptions (claims) | 185 · 185 30-day fills |
|---|---|
| Patients | 115 |
| Total drug cost | $7,771 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliations
- Intermountain Health Cedar City HospitalCedar City, UT
- St. George Regional HospitalSt George, 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 St George
- 1013341965
- 1033671193
- 1033782925
- 1083069793
- 1083632335
- 1114651254
- 1134509797
- 1215989645
- 1245296383
- 1265419451
- 1306373881
- 1316599673
All 111 physician assistants in St George · All physician assistants in Utah