Active NPI 1730639543 Individual Practitioner Female Practitioner

Stacy Probasco

Physician Assistant • Layton, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Probasco is a certified Physician Assistant practicing in Layton, UT. With approximately 10 years of clinical experience since graduating from University Of Utah School Of Medicine in 2016, Stacy Probasco delivers high-quality medical care to the local community at 2121 N 1700 W.

Stacy Probasco is affiliated with Tanner Memorial Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, injection of trigger points. 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

Associated Practice Facility / Clinic

🏢 Tanner Memorial Clinic Facility NPI 1447239355

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Layton, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -0.3 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

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Probasco (10 Years) 10 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	139	44	$6.00	$0.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	81	$172.18	$102.39
99213 Established patient office or other outpatient visit, typically 15 minutes	66	51	$119.02	$73.34
20553 Injection of trigger points, 3 or more muscles	57	35	$135.00	$48.59
72148 MRI scan of lower spinal canal	27	27	$890.00	$150.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	58	$169.92	$100.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	14	$6.00	$1.10
72148 MRI scan of lower spinal canal	31	31	$890.00	$156.20
20553 Injection of trigger points, 3 or more muscles	14	13	$135.00	$49.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$166.25	$104.61
72148 MRI scan of lower spinal canal	26	26	$890.00	$159.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$165.00	$106.60
72148 MRI scan of lower spinal canal	25	24	$760.40	$163.06
72195 Mri scan of pelvis without contrast	14	14	$1000.00	$202.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	68	$113.77	$61.42
72148 MRI scan of lower spinal canal	25	24	$803.52	$160.87
20553 Injection of trigger points, 3 or more muscles	12	11	$135.00	$54.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	66	$110.00	$61.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	14	$6.00	$1.51
72148 MRI scan of lower spinal canal	35	34	$964.00	$171.12
20553 Injection of trigger points, 3 or more muscles	15	14	$135.00	$53.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	110	$110.00	$59.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	54	15	$6.00	$1.76
20553 Injection of trigger points, 3 or more muscles	17	15	$135.00	$52.84
72148 MRI scan of lower spinal canal	17	17	$964.00	$163.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$105.00	$59.47

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 5542435-1206

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.

Hospital & Practice Group Affiliations

Tanner Memorial Clinic

2038 W 1900, Syracuse, UT 840759320

Phone: 8017734840

Tanner Memorial Clinic

2121 N 1700, Layton, UT 840418803

Phone: 8017734840

Tanner Memorial Clinic

425 S 100, Layton, UT 840415356

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

NPI 1003174129

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

6 Historical Events

✅

NPI Profile Active October 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2016

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

📍

Updated Business Mailing Address October 05, 2016

Registered at PO BOX 337, LAYTON, UT 840410337 (Tel: 8017734840)

👤

Provider Name / Credentials Updated October 05, 2016

Recorded as STACY PROBASCO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2016

Physician Assistant (License #5542435-1206 in UT)

🟢

Initial NPI Registration & Enumeration October 05, 2016

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: 1730639543

Entity Type:

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

Enumeration Date: October 05, 2016

Last Update: October 05, 2016

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.