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Jalen Mon Tiev, PA

NPI 1497485049ActiveIndividual· Physician Assistant· Providence, UT

Physician Assistant (PA) with Ihc Health Services Inc, practicing in Providence, Utah. Their prescriptions cost Medicare Part D more than their services did: $234,674 for 3,366 claims, against $28,557 paid for services in 2024. Lists Intermountain Health Logan Regional Hospital as a hospital affiliation.

Overview

NPI1497485049
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedJun 15, 2022
Last updated in NPPESSep 15, 2022
Certified by providerSep 4, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 patients162
Services billed437 across 24 procedure codes
Paid by Medicare$28,557

Part D prescriptions in 2024

Prescriptions (claims)3,366 · 7,367 30-day fills
Patients556
Total drug cost$234,674
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Physician Assistant providers in Providence

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