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Konneen Willis, PA

NPI 1861510240ActiveIndividual· Physician Assistant, Medical· Bountiful, UT

Physician Assistant, Medical (PA) with Canyon Ridge Pain and Spine PC, practicing in Bountiful, Utah. Their prescriptions cost Medicare Part D more than their services did: $69,502 for 1,766 claims, against $14,033 paid for services in 2024. Salix Pharmaceuticals, A Division of Bausch Health US, LLC was the largest of 7 companies reporting payments in 2025, $310.48 in all, mostly food and beverage.

Overview

NPI1861510240
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedMar 26, 2007
Last updated in NPPESFeb 25, 2021
Certified by providerFeb 25, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X107354-1206UT

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 patients192
Services billed429 across 14 procedure codes
Paid by Medicare$14,033

Part D prescriptions in 2024

Prescriptions (claims)1,766 · 1,876 30-day fills
Patients241
Total drug cost$69,502
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Graduation year2004
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$310.48 · 13 payments from 7 companies
  • 2024$211.66 · 10 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$310.48 · 13 payments

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

Other Physician Assistant, Medical providers in Bountiful

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