Active NPI 1669704045 Individual Practitioner Male Practitioner

Jeremiah Jorgensen , PA

Physician Assistant • American Fork, UT

Professional Overview & Biography Verified Profile Summary

Jeremiah Jorgensen, PA is a registered healthcare professional specializing in Physician Assistant in American Fork, UT. Practice services are available at 148 S 1100 E under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

148 S 1100 E

American Fork, UT 840032817

Telephone 3853367461

Associated Practice Facility / Clinic

🏢 Smith And Macdonald Pediatric Dentistry Facility NPI 1316234032

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in American Fork, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.9 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

42 Specialists

Practicing in American Fork, UT (1904 Statewide)

Telehealth Adoption Rate

19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$288.40	$145.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$97.56	$49.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$192.60	$97.65
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$157.67	$79.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$198.19	$94.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$293.69	$143.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	54	$99.88	$48.66
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$159.12	$77.65
11102 Tangential biopsy of single skin lesion	21	13	$180.86	$86.14
17000 Destruction of skin growth	11	11	$119.54	$50.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$302.02	$147.69
17003 Destruction of precancer skin growth, 2-14 growths	92	19	$12.05	$5.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$202.50	$99.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	55	$99.79	$49.89
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$161.83	$79.76
17000 Destruction of skin growth	32	29	$121.75	$42.85
11102 Tangential biopsy of single skin lesion	31	23	$186.19	$87.91
17110 Destruction of up to 14 skin growths	11	11	$206.01	$95.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$302.69	$148.09
17003 Destruction of precancer skin growth, 2-14 growths	124	28	$11.55	$5.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	67	$99.89	$49.53
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$160.52	$80.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$201.85	$99.61
17000 Destruction of skin growth	39	37	$118.94	$45.72
11102 Tangential biopsy of single skin lesion	27	26	$186.97	$80.12
17110 Destruction of up to 14 skin growths	18	17	$204.63	$97.67
11103 Biopsy of related skin growth, each additional growth	16	11	$95.64	$46.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	185	36	$10.50	$5.19
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$136.16	$66.08
99213 Established patient office or other outpatient visit, typically 15 minutes	69	58	$133.73	$64.92
17000 Destruction of skin growth	48	43	$117.51	$42.02
11102 Tangential biopsy of single skin lesion	41	36	$179.48	$81.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$194.39	$94.08
17110 Destruction of up to 14 skin growths	26	23	$200.44	$97.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$81.19	$39.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$193.09	$93.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	232	42	$10.15	$4.92
17000 Destruction of skin growth	54	51	$117.53	$39.07
11102 Tangential biopsy of single skin lesion	47	45	$178.36	$80.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$193.34	$93.80
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$132.67	$63.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$194.16	$94.20
17110 Destruction of up to 14 skin growths	28	28	$199.48	$96.78
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$136.48	$66.21
11103 Biopsy of related skin growth, each additional growth	16	13	$96.15	$46.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$80.73	$39.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	170	27	$21.00	$4.25
11100 Biopsy of single growth of skin and/or tissue	34	33	$219.00	$72.91
17000 Destruction of skin growth	32	32	$161.00	$40.00
11101 Biopsy of each additional growth of skin and/or tissue	25	19	$71.00	$26.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$190.00	$85.99
17004 Destruction of precancer skin growth, 15 or more growths	18	18	$450.00	$123.01
17110 Destruction of up to 14 skin growths	15	15	$232.00	$83.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$646.00	$247.66

Medical Specialties & State Licenses

CMS Verified: 2026-06-09

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 8152398-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 4597

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NV PA2046

Secondary Practice Locations

3584 W 9000 S, Suite 405

West Jordan, UT 840885710

Phone: 8015683480

6460 Medical Center St Ste 350

Las Vegas, NV 891482423

Phone: 7022556647

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Chad Gollaher , DMD

Dentist - Pediatric Dentistry

NPI 1356795769

Doctor of Dental Medicine

Dr. Robert Steele , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1598128985

Doctor of Medicine (M.D.)

Dr. David Macdonald , DDS

Dentist - Pediatric Dentistry

NPI 1790943629

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location June 09, 2026

Registered at 148 S 1100 E, AMERICAN FORK, UT 840032817 (Tel: 3853367461)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2026

Physician Assistant (License #8152398-1206 in UT)

📍

Updated Business Mailing Address June 09, 2019

Registered at 6460 MEDICAL CENTER ST STE 350, LAS VEGAS, NV 891482423 (Tel: 7022556647)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2019

Physician Assistant (License #4597 in AZ)

✅

NPI Profile Active March 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2012

Registered at 3584 W 9000 S, SUITE 405, WEST JORDAN, UT 840885710 (Tel: 8015683480)

📍

Updated Business Mailing Address March 29, 2012

Registered at 3584 W 9000 S, SUITE 405, WEST JORDAN, UT 840885710 (Tel: 8015683480)

👤

Provider Name / Credentials Updated March 29, 2012

Recorded as JEREMIAH JORGENSEN, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2012

Physician Assistant (License #8152398-1206 in UT)

🟢

Initial NPI Registration & Enumeration February 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Jeremiah Jorgensen. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1669704045

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 09, 2010

Last Update: June 09, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6460 Medical Center St Ste 350

Las Vegas, NV 891482423

Phone: 7022556647

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.