Jordan Anthony Lythgoe, P.A.
NPI 1245762806ActiveIndividual· Physician Assistant· Provo, UT
Physician Assistant (P.A.) with Ihc Health Services Inc, practicing in Provo, Utah. In 2024 Medicare paid $13,304 for 193 patients, and Part D covered 121 of their prescriptions, 82% of them generic. Boston Scientific Corporation reported $26.25 in payments in 2025, mostly food and beverage. Lists Intermountain Health Utah Valley Hospital as a hospital affiliation.
Overview
| NPI | 1245762806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Mar 31, 2017 |
| Last updated in NPPES | Oct 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10520107-1206 | 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 | 193 |
|---|---|
| Services billed | 241 across 41 procedure codes |
| Paid by Medicare | $13,304 |
Part D prescriptions in 2024
| Prescriptions (claims) | 121 · 174 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $17,861 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$26.25 · 1 payment from 1 company
- 2024$26.24 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $26.25 | 1 |
What the 2025 payments were for
- Food and Beverage$26.25 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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