Ty Cannon, PA-C
NPI 1417432501ActiveIndividual· Physician Assistant· St George, UT
Physician Assistant (PA-C) in St George, Utah, licensed in UT, with an NPI issued in September 2018. Their prescriptions cost Medicare Part D more than their services did: $189,785 for 2,124 claims, against $17,173 paid for services in 2024.
Overview
| NPI | 1417432501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 25, 2018 |
| Last updated in NPPES | Sep 25, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10974132-1206 | UT |
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 | 159 |
|---|---|
| Services billed | 1,262 across 22 procedure codes |
| Paid by Medicare | $17,173 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,124 · 3,567 30-day fills |
|---|---|
| Patients | 536 |
| Total drug cost | $189,785 |
| Generic share | 89% 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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