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Active NPI 1588204705 Individual Practitioner Female Practitioner

Cherokee Carrillo , PA-C

Physician Assistant • Eagle Mountain, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cherokee Carrillo, PA-C is a certified Physician Assistant practicing in Eagle Mountain, UT. With approximately 7 years of clinical experience since completing medical education in 2019, Cherokee Carrillo delivers high-quality medical care to the local community at 4095 E PONY EXPRESS PARKWAY.

Cherokee Carrillo is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4095 E Pony Express Parkway

Eagle Mountain, UT 84005

Telephone 8014298037
Fax 8017537476
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eagle Mountain, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -0.9 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Eagle Mountain, UT (1904 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carrillo (7 Years) 7 Yrs
Eagle Mountain Specialty Average (7.9 Years) 7.9 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes
24 23 $153.00 $77.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $216.00 $108.84

Medical Specialties & State Licenses

CMS Verified: 2024-01-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 11583503-1206

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 WA PA61242297

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.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1380 E Medical Ctr Dr, St George, UT 847902123

Phone: 4352511000

Ihc Health Services Inc

9660 S 1300, Sandy, UT 840943762

Phone: 8015012600

Secondary Practice Locations

1160 E 3900 S Ste 4100

Salt Lake City, UT 841241246

Phone: 8012683800

Practice Associates & Co-Workers

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

15 Associated Practitioners
Paul Lewis , NP

Nurse Practitioner - Family

NPI 1093263220

Nurse Practitioner

Lorin Leithead , APRN

Nurse Practitioner - Family

NPI 1164852745

Advanced Practice Registered Nurse

Rachael Clark

Dietitian, Registered

NPI 1194403865
Kelsie Beddes , FNP

Nurse Practitioner - Family

NPI 1275250235

Family Nurse Practitioner

Tyson Roberts , PA

Physician Assistant

NPI 1346137726

Physician Assistant

NPI 1346484581

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 02, 2024

Registered at 4095 E PONY EXPRESS PARKWAY, EAGLE MOUNTAIN, UT 84005 (Tel: 8014298037)

📍
Updated Business Mailing Address January 02, 2024

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 846041246 (Tel: 8013548225)

📍
Updated Practice Location September 06, 2023

Registered at 1160 E 3900 S STE 4100, SALT LAKE CITY, UT 841241246 (Tel: 8012683800)

📍
Updated Business Mailing Address September 06, 2023

Registered at 1160 E 3900 S STE 4100, SALT LAKE CITY, UT 841241246 (Tel: 8012683800)

📍
Updated Practice Location March 07, 2023

Registered at 1100 GOETHALS DR STE E, RICHLAND, WA 993523301 (Tel: 5099423095)

📍
Updated Business Mailing Address March 07, 2023

Registered at 1100 GOETHALS DR, RICHLAND, WA 993523300 (Tel: 5099422479)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Physician Assistant (License #PA61242297 in WA)

NPI Profile Active January 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2020

Registered at 8605 S SHULSEN LN, WEST JORDAN, UT 840889307 (Tel: 8018319210)

📍
Updated Business Mailing Address January 15, 2020

Registered at 8605 S SHULSEN LN, WEST JORDAN, UT 840889307 (Tel: 8018319210)

👤
Provider Name / Credentials Updated January 15, 2020

Recorded as CHEROKEE CARRILLO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2020

Physician Assistant (License #11583503-1206 in UT)

🟢
Initial NPI Registration & Enumeration January 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588204705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2020
Last Update: January 02, 2024
Sole Proprietor: Yes

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 846041246

Phone: 8013548225

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.