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Deactivated NPI 1174542559 Deactivated / Inactive NPI Male Practitioner

Duane W Draper , PA-C

Physician Assistant • Manila, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Duane Draper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2006
NPI Deactivation Date September 13, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Duane Draper, PA-C was a registered Physician Assistant practicing in Manila, UT. Throughout an active medical career spanning 13 years, Duane Draper provided care at the practice location at 96 NORTH 1ST WEST until profile deactivation on 2019-09-13.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

96 North 1st West

Manila, UT 840460130

Telephone 4357843575
Fax 4357843505

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Manila, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Manila, UT (1904 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.9% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
101 69 $101.00 $59.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 23 $78.00 $35.63

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 327325-1206

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Josie Wood , PA

Physician Assistant

NPI 1588367239

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 13, 2019

Record deactivated on September 13, 2019

NPI Profile Active July 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 19, 2007

Registered at 96 NORTH 1ST WEST, MANILA, UT 840460130 (Tel: 4357843575)

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Updated Business Mailing Address July 19, 2007

Registered at 210 W 300 N # 75-3, ROOSEVELT, UT 840662336 (Tel: 4357843575)

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Provider Name / Credentials Updated July 19, 2007

Recorded as DUANE DRAPER, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2007

Physician Assistant (License #327325-1206 in UT)

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Initial NPI Registration & Enumeration July 18, 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: 1174542559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: July 19, 2007
Deactivation Date: September 13, 2019

Mailing Address

210 W 300 N # 75-3

Roosevelt, UT 840662336

Phone: 4357843575

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.