Tracy Lynn Holley, PA-C
NPI 1801194097ActiveIndividual· Physician Assistant, Surgical· Murray, UT
Physician Assistant, Surgical (PA-C) with Granger Medical Clinic PC, practicing in Murray, Utah. 124 Medicare patients in 2024, $319,824 paid; nearly all of their 627 Part D prescriptions were generic (93%). Abbvie Inc. was the largest of 3 companies reporting payments in 2024, $110.54 in all, mostly food and beverage. Lists St Mark's Hospital as a hospital affiliation.
Overview
| NPI | 1801194097 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 11, 2011 |
| Last updated in NPPES | Apr 15, 2026 |
| Certified by provider | Apr 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 343176-1206 | UT |
| Physician Assistant | 363A00000X | 343176-1206 | 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 | 124 |
|---|---|
| Services billed | 884 across 18 procedure codes |
| Paid by Medicare | $319,824 |
Part D prescriptions in 2024
| Prescriptions (claims) | 627 · 731 30-day fills |
|---|---|
| Patients | 152 |
| Total drug cost | $57,379 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Granger Medical Clinic PCWest Valley City, UT · 193 clinicians
Hospital affiliation
- St Mark's HospitalSalt Lake City, UT
Industry payments (Open Payments)
- 2024$110.54 · 5 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $74.39 | 3 |
| Collegium Pharmaceutical, Inc. | $20.00 | 1 |
| Medtronic, Inc. | $16.15 | 1 |
What the 2024 payments were for
- Food and Beverage$110.54 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 surgical physician assistants in Murray · All surgical physician assistants in Utah