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Active NPI 1598866691 Individual Practitioner Male Practitioner

Devon E. Dahlke , PA-C

Physician Assistant • Logan, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Devon Dahlke, PA-C is a certified Physician Assistant practicing in Logan, UT. With approximately 22 years of clinical experience since completing medical education in 2004, Devon Dahlke delivers high-quality medical care to the local community at 630 E 1400 N STE 150.

Devon Dahlke is affiliated with Sterling Provider Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

630 E 1400 N Ste 150

Logan, UT 843412549

Telephone 4359154465
Fax 4355144556
Associated Practice Facility / Clinic
🏢 Sterling Medical Llc Facility NPI 1265807614

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Logan, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +10.9 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Logan, UT (1904 Statewide)

Telehealth Adoption Rate
17.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dahlke (22 Years) 22 Yrs
Logan Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
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
13 13 $274.38 $103.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $346.92 $134.54

Medical Specialties & State Licenses

CMS Verified: 2020-12-01
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.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License UT 5703274-1206

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1598866691 (UT)
Commercial Insurance / Payer ID Champus
$$$$$$$$$ (UT)

Hospital & Practice Group Affiliations

Sterling Provider Group

630 E 1400, Logan, UT 843412549

Phone: 4359154465

Sterling Provider Group

740 S Woodruff Ave, Idaho Falls, ID 834015285

Phone: 20854291111026

Secondary Practice Locations

7017 S. Daisy Lane

Idaho Falls, ID 83402

Phone: 2085345878

740 S Woodruff Ave

Idaho Falls, ID 834015285

Phone: 2085429111

2761 Commercial Way

Rock Springs, WY 829014753

Phone: 3073823064

1201 S Main St Ste 110

Logan, UT 843218504

Phone: 4357878504

1952 Harrison Drive

Evanston, WY 82930

Phone: 3072880404

507 S Main St

Hailey, ID 833338929

Phone: 2087884122

700 S Highway 91

Richmond, UT 843331209

Phone: 4352943215

1404 Pomerelle Ave Ste A1

Burley, ID 833182013

Phone: 2088788783

47 Doc Perkes Rd

Afton, WY 83110

Phone: 3078853637

Practice Associates & Co-Workers

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

7 Associated Practitioners
Tod Morrison , FNP

Nurse Practitioner - Family

NPI 1134567282

Family Nurse Practitioner

Dr. Jacob Anderson , DNP

Nurse Practitioner - Family

NPI 1316329220

Doctor of Nursing Practice

NPI 1356925820

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Dale Bingham , PA-C

Physician Assistant

NPI 1376547935

Physician Assistant (Certified)

Andrea Simons , FNP

Nurse Practitioner - Family

NPI 1609655927

Family Nurse Practitioner

Olivia Hotchkiss , PA-C

Physician Assistant

NPI 1699698621

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address December 01, 2020

Registered at 740 S WOODRUFF AVE, IDAHO FALLS, ID 834015285 (Tel: 2085429111)

📍
Updated Practice Location May 11, 2020

Registered at 630 E 1400 N STE 150, LOGAN, UT 843412549 (Tel: 4359154465)

NPI Profile Active May 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2008

Registered at 987 W 2880 S, LOGAN, UT 843216479 (Tel: 4357539189)

📍
Updated Business Mailing Address May 14, 2008

Registered at PO BOX 25535, SALT LAKE CITY, UT 841250535 (Tel: 8668987136)

👤
Provider Name / Credentials Updated May 14, 2008

Recorded as DEVON DAHLKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2008

Emergency Medicine (License #5703274-1206 in UT)

🟢
Initial NPI Registration & Enumeration September 25, 2006

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: 1598866691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: December 01, 2020
Sole Proprietor: No

Mailing Address

740 S Woodruff Ave

Idaho Falls, ID 834015285

Phone: 2085429111

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.