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Terry Russell Van Wormer, PA-C

NPI 1467439505ActiveIndividual· Physician Assistant· Layton, UT

Physician Assistant (PA-C) with Tanner Memorial Clinic, practicing in Layton, Utah. 394 Medicare patients in 2024, $75,751 paid; nearly all of their 1,532 Part D prescriptions were generic (92%). Sumitomo Pharma America, Inc. was the largest of 15 companies reporting payments in 2025, $587.26 in all, mostly food and beverage.

Overview

NPI1467439505
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedDec 29, 2005
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients394
Services billed5,885 across 63 procedure codes
Paid by Medicare$75,751

Part D prescriptions in 2024

Prescriptions (claims)1,532 · 2,705 30-day fills
Patients507
Total drug cost$103,363
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year1999
Medicare specialtyPhysician Assistant

Medical group

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$587.26 · 18 payments from 15 companies
  • 2024$312.92 · 14 payments from 9 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$587.26 · 18 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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