Kelly R. Averett, PA-C
NPI 1306198924ActiveIndividual· Physician Assistant· Salt Lake City, UT
Physician Assistant (PA-C) with Mountainstar Specialty Services LLC, practicing in Salt Lake City, Utah. 81 Medicare patients in 2024, $7,900 paid; nearly all of their 210 Part D prescriptions were generic (91%). Solventum Corporation was the largest of 3 companies reporting payments in 2025, $410.62 in all, mostly food and beverage. Lists St Mark's Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1306198924 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 5, 2012 |
| Last updated in NPPES | Feb 20, 2025 |
| Certified by provider | Feb 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4850503-1206 | 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 | 81 |
|---|---|
| Services billed | 144 across 23 procedure codes |
| Paid by Medicare | $7,900 |
Part D prescriptions in 2024
| Prescriptions (claims) | 210 · 210 30-day fills |
|---|---|
| Patients | 134 |
| Total drug cost | $3,458 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mountainstar Specialty Services LLCWest Jordan, UT · 30 clinicians
Hospital affiliations
- St Mark's HospitalSalt Lake City, UT
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
- 2025$410.62 · 11 payments from 3 companies
- 2024$26.01 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Solventum Corporation | $157.11 | 2 |
| Mimedx Group, Inc. | $140.32 | 8 |
| Molnlycke Health Care US, LLC | $113.19 | 1 |
What the 2025 payments were for
- Food and Beverage$410.62 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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