Active NPI 1467439505 Individual Practitioner Male Practitioner

Terry Russell Van Wormer , PA-C

Physician Assistant • Layton, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Terry Van Wormer, PA-C is a certified Physician Assistant practicing in Layton, UT. With approximately 27 years of clinical experience since completing medical education in 1999, Terry Van Wormer delivers high-quality medical care to the local community at 2121 N 1700 W.

Terry Van Wormer is affiliated with Tanner Memorial Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, injection, gadoteridol, (prohance multipack), per ml, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2121 N 1700 W

Layton, UT 840418803

Telephone 8017734840

Fax 8015258151

Associated Practice Facility / Clinic

🏢 Tanner Memorial Clinic Facility NPI 1447239355

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Layton, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +16.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

65 Specialists

Practicing in Layton, UT (1904 Statewide)

Telehealth Adoption Rate

13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Wormer (27 Years) 27 Yrs

Layton Specialty Average (10.3 Years) 10.3 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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,100	15	$1.00	$0.13
A9576 Injection, gadoteridol, (prohance multipack), per ml	699	37	$2.75	$1.44
99213 Established patient office or other outpatient visit, typically 15 minutes	619	337	$117.66	$72.21
36415 Insertion of needle into vein for collection of blood sample	223	144	$10.00	$8.65
81002 Urinalysis, manual test	190	118	$8.00	$3.41
84153 Psa (prostate specific antigen) measurement, total	160	126	$35.00	$18.02
87088 Bacterial urine culture	135	71	$18.00	$7.93
51702 Simple insertion of temporary bladder tube	117	23	$163.00	$49.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	101	25	$32.12	$18.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$165.00	$88.37
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	62	34	$20.00	$8.48
87077 Bacterial culture for aerobic isolates	62	34	$20.00	$7.92
84154 Psa (prostate specific antigen) measurement, free	55	44	$47.00	$17.90
80048 Blood test, basic group of blood chemicals (calcium, total)	53	50	$20.23	$8.29
72197 Mri scan of pelvis before and after contrast	39	39	$1400.00	$273.65
74176 Ct scan of abdomen and pelvis without contrast	38	36	$500.00	$146.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	16	$13.00	$7.61
51798 Ultrasound measurement of bladder capacity after voiding	29	27	$39.00	$10.37
84403 Testosterone (hormone) level, total	27	14	$50.00	$25.29
84270 Sex hormone binding globulin (protein) level	27	14	$33.00	$21.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$75.00	$45.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$175.44	$103.49
51741 Electronic assessment of bladder emptying	14	14	$130.00	$9.40
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$36.00	$18.92
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$975.00	$275.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,025	15	$1.00	$0.14
99213 Established patient office or other outpatient visit, typically 15 minutes	664	371	$115.00	$72.62
A9576 Injection, gadoteridol, (prohance multipack), per ml	535	29	$2.75	$1.41
81002 Urinalysis, manual test	278	157	$8.00	$3.39
36415 Insertion of needle into vein for collection of blood sample	228	160	$10.00	$8.40
51702 Simple insertion of temporary bladder tube	164	30	$163.00	$49.29
84153 Psa (prostate specific antigen) measurement, total	157	120	$35.00	$18.02
87088 Bacterial urine culture	100	75	$18.00	$7.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$165.00	$90.40
74176 Ct scan of abdomen and pelvis without contrast	61	54	$494.26	$151.29
80048 Blood test, basic group of blood chemicals (calcium, total)	46	45	$20.00	$8.29
87077 Bacterial culture for aerobic isolates	41	33	$20.00	$7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	41	33	$20.00	$8.48
84403 Testosterone (hormone) level, total	40	20	$50.00	$25.29
84270 Sex hormone binding globulin (protein) level	40	20	$33.00	$21.30
84154 Psa (prostate specific antigen) measurement, free	40	34	$47.00	$18.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	19	$13.00	$7.61
72197 Mri scan of pelvis before and after contrast	31	30	$1400.00	$282.33
51798 Ultrasound measurement of bladder capacity after voiding	26	24	$39.00	$9.87
51700 Simple bladder irrigation and/or instillation	23	13	$174.00	$60.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$75.00	$45.46
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$36.00	$18.92
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$910.42	$266.68
51741 Electronic assessment of bladder emptying	12	12	$130.00	$9.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,750	21	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	617	346	$115.01	$73.12
A9576 Injection, gadoteridol, (prohance multipack), per ml	555	29	$2.75	$1.43
81003 Automated urinalysis test	237	144	$5.00	$2.20
36415 Insertion of needle into vein for collection of blood sample	196	138	$10.00	$2.96
51702 Simple insertion of temporary bladder tube	155	26	$163.00	$50.41
84153 Psa (prostate specific antigen) measurement, total	145	111	$35.00	$18.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$165.00	$88.61
87088 Bacterial urine culture	64	49	$18.00	$7.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	12	$50.00	$11.59
84154 Psa (prostate specific antigen) measurement, free	43	34	$47.00	$18.15
81002 Urinalysis, manual test	40	33	$8.00	$3.41
74176 Ct scan of abdomen and pelvis without contrast	37	37	$500.00	$150.27
72197 Mri scan of pelvis before and after contrast	32	32	$1259.38	$290.67
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	30	25	$20.00	$8.52
87077 Bacterial culture for aerobic isolates	30	25	$20.00	$7.96
80048 Blood test, basic group of blood chemicals (calcium, total)	28	28	$20.00	$8.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$75.00	$45.92
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$975.00	$293.30
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$36.00	$19.04
51798 Ultrasound measurement of bladder capacity after voiding	15	14	$39.00	$9.70
80053 Blood test, comprehensive group of blood chemicals	15	15	$27.00	$10.51
51700 Simple bladder irrigation and/or instillation	15	13	$174.00	$62.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,496	19	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	456	258	$115.00	$74.11
81003 Automated urinalysis test	338	185	$5.00	$2.25
A9576 Injection, gadoteridol, (prohance multipack), per ml	235	13	$2.75	$1.44
36415 Insertion of needle into vein for collection of blood sample	198	147	$10.00	$2.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	187	135	$69.74	$45.87
84153 Psa (prostate specific antigen) measurement, total	146	117	$35.00	$18.09
51702 Simple insertion of temporary bladder tube	117	19	$163.00	$51.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	16	$49.03	$11.55
74176 Ct scan of abdomen and pelvis without contrast	54	47	$493.52	$158.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$165.00	$92.17
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$115.00	$59.01
87088 Bacterial urine culture	39	33	$18.00	$8.09
84154 Psa (prostate specific antigen) measurement, free	37	29	$47.00	$17.99
80048 Blood test, basic group of blood chemicals (calcium, total)	31	31	$20.00	$8.46
51700 Simple bladder irrigation and/or instillation	28	19	$174.00	$64.35
84270 Sex hormone binding globulin (protein) level	24	13	$33.00	$21.73
84403 Testosterone (hormone) level, total	24	13	$50.00	$25.81
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	12	$13.00	$7.77
51798 Ultrasound measurement of bladder capacity after voiding	15	15	$39.00	$9.58
72197 Mri scan of pelvis before and after contrast	14	13	$1100.00	$308.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,800	18	$1.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	502	299	$113.01	$61.14
36415 Insertion of needle into vein for collection of blood sample	224	162	$10.00	$2.94
81003 Automated urinalysis test	184	129	$5.00	$2.19
84153 Psa (prostate specific antigen) measurement, total	164	120	$35.00	$18.28
51702 Simple insertion of temporary bladder tube	137	22	$163.00	$51.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$164.60	$88.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	16	$45.45	$11.84
74176 Ct scan of abdomen and pelvis without contrast	48	42	$500.00	$161.55
84154 Psa (prostate specific antigen) measurement, free	41	29	$47.00	$18.26
G0103 Prostate cancer screening; prostate specific antigen test (psa)	32	32	$36.00	$19.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	13	$13.00	$7.72
84270 Sex hormone binding globulin (protein) level	28	11	$33.00	$21.61
84403 Testosterone (hormone) level, total	28	11	$50.00	$25.66
51798 Ultrasound measurement of bladder capacity after voiding	24	21	$39.00	$9.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$67.40	$37.76
87070 Bacterial culture	19	18	$20.00	$8.45
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$975.00	$291.32
80048 Blood test, basic group of blood chemicals (calcium, total)	14	13	$20.00	$8.38
51700 Simple bladder irrigation and/or instillation	12	11	$174.00	$58.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,300	23	$1.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	692	374	$110.00	$61.34
36415 Insertion of needle into vein for collection of blood sample	234	171	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	186	140	$35.00	$20.03
51702 Simple insertion of temporary bladder tube	175	30	$163.00	$50.73
81003 Automated urinalysis test	165	108	$5.00	$2.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	139	26	$45.00	$13.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$160.00	$87.26
81002 Urinalysis, manual test	125	77	$8.00	$3.41
74176 Ct scan of abdomen and pelvis without contrast	63	58	$500.00	$162.62
J1580 Injection, garamycin, gentamicin, up to 80 mg	56	14	$13.00	$1.78
84154 Psa (prostate specific antigen) measurement, free	52	34	$47.00	$20.03
87070 Bacterial culture	43	40	$20.00	$9.38
81000 Manual urinalysis test with examination using microscope, non-automated	31	27	$11.00	$3.94
80048 Blood test, basic group of blood chemicals (calcium, total)	28	26	$20.00	$9.21
G0103 Prostate cancer screening; prostate specific antigen test (psa)	27	27	$36.00	$20.03
84270 Sex hormone binding globulin (protein) level	26	15	$33.00	$23.67
84403 Testosterone (hormone) level, total	26	15	$50.00	$28.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$65.00	$35.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	14	$12.17	$8.46
51798 Ultrasound measurement of bladder capacity after voiding	22	19	$39.00	$12.01
51700 Simple bladder irrigation and/or instillation	14	13	$174.00	$61.52
87077 Bacterial culture for aerobic isolates	13	13	$29.00	$8.79
87088 Bacterial urine culture	13	12	$18.00	$8.81
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	13	13	$20.00	$9.42
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$975.00	$279.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,400	14	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	630	366	$110.00	$59.91
81000 Manual urinalysis test with examination using microscope, non-automated	303	146	$11.00	$3.92
51702 Simple insertion of temporary bladder tube	291	30	$163.00	$52.67
36415 Insertion of needle into vein for collection of blood sample	227	177	$9.81	$2.94
84153 Psa (prostate specific antigen) measurement, total	161	123	$38.13	$22.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	134	18	$45.00	$16.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$160.00	$88.70
J1580 Injection, garamycin, gentamicin, up to 80 mg	55	11	$13.00	$1.43
84154 Psa (prostate specific antigen) measurement, free	47	39	$47.00	$22.26
74176 Ct scan of abdomen and pelvis without contrast	47	43	$486.17	$160.64
G0103 Prostate cancer screening; prostate specific antigen test (psa)	46	46	$36.00	$22.26
87070 Bacterial culture	44	41	$20.00	$10.43
87088 Bacterial urine culture	31	28	$18.00	$9.79
84403 Testosterone (hormone) level, total	27	16	$50.00	$30.49
84270 Sex hormone binding globulin (protein) level	27	16	$34.89	$25.58
51798 Ultrasound measurement of bladder capacity after voiding	25	23	$39.00	$14.05
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	16	$11.00	$9.08
80048 Blood test, basic group of blood chemicals (calcium, total)	19	19	$20.00	$10.23
87077 Bacterial culture for aerobic isolates	12	11	$29.00	$9.77
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$975.00	$280.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	21,600	12	$0.10	$0.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,500	23	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	624	388	$105.00	$59.78
51702 Simple insertion of temporary bladder tube	350	44	$163.00	$51.33
81000 Manual urinalysis test with examination using microscope, non-automated	254	123	$11.00	$4.26
87088 Bacterial urine culture	211	84	$18.00	$10.88
36415 Insertion of needle into vein for collection of blood sample	201	161	$9.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	172	172	$159.01	$88.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	151	27	$45.00	$20.49
87077 Bacterial culture for aerobic isolates	132	55	$29.00	$10.86
84153 Psa (prostate specific antigen) measurement, total	126	101	$46.90	$24.53
81002 Urinalysis, manual test	95	65	$8.00	$3.43
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	91	44	$15.00	$9.27
74176 Ct scan of abdomen and pelvis without contrast	57	51	$321.05	$111.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	48	48	$36.00	$24.73
J1580 Injection, garamycin, gentamicin, up to 80 mg	36	13	$12.82	$1.52
51798 Ultrasound measurement of bladder capacity after voiding	34	30	$39.00	$18.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	33	18	$11.00	$7.11
84154 Psa (prostate specific antigen) measurement, free	30	25	$47.00	$24.73
84270 Sex hormone binding globulin (protein) level	29	15	$50.00	$21.89
87070 Bacterial culture	28	27	$20.00	$11.58
80048 Blood test, basic group of blood chemicals (calcium, total)	22	21	$20.00	$11.37
87081 Screening test for pathogenic organisms	18	12	$15.00	$4.24
74178 Ct scan of abdomen and pelvis before and after contrast	17	16	$822.06	$244.22

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Tanner Memorial Clinic

425 S 100, Layton, UT 840415356

Phone: 8017734840

Tanner Memorial Clinic

1750 E 3100, Layton, UT 840402406

Phone: 8017734840

Tanner Memorial Clinic

1477 N 2000, Clinton, UT 840159099

Phone: 8017734840

Tanner Memorial Clinic

2121 N 1700, Layton, UT 840418803

Phone: 8017734840

Tanner Memorial Clinic

2038 W 1900, Syracuse, UT 840759320

Phone: 8017734840

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Stephen Merrell , MD, MPH

Family Medicine

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Doctor of Medicine (M.D.), Master of Public Health

Cameron Wood , PA-C

Physician Assistant

NPI 1003628413

Physician Assistant (Certified)

Dr. Khaldoun Al-Rayess , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003808122

Doctor of Medicine (M.D.)

Dr. David Vandemerwe , MD

Family Medicine

NPI 1003859547

Doctor of Medicine (M.D.)

Alison Coburn , LCSW

Social Worker - Clinical

NPI 1013314731

Licensed Clinical Social Worker

Dr. Dustin Child , MD

Family Medicine

NPI 1013941228

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2017

Registered at 2121 N 1700 W, LAYTON, UT 840418803 (Tel: 8017734840)

📍

Updated Business Mailing Address September 07, 2017

Registered at PO BOX 337, LAYTON, UT 840410337 (Tel: (801) 773-4840)

👤

Provider Name / Credentials Updated September 07, 2017

Recorded as TERRY VAN WORMER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Physician Assistant

✅

NPI Profile Active July 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2012

Registered at 4102 PINION DR, U S A F ACADEMY, CO 808402502 (Tel: 7193335741)

📍

Updated Business Mailing Address July 19, 2012

Registered at 13935 NICHLAS CT, COLORADO SPRINGS, CO 809213310 (Tel: 7194881262)

👤

Provider Name / Credentials Updated July 19, 2012

Recorded as TERRY VAN WORMER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2012

Physician Assistant

🟢

Initial NPI Registration & Enumeration December 29, 2005

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: 1467439505

Entity Type:

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

Enumeration Date: December 29, 2005

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 337

Layton, UT 840410337

Phone: 8017734840

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.