Active NPI 1750323986 Individual Practitioner Male Practitioner

Mark Boyack , NP

Nurse Practitioner • Provo, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mark Boyack, NP is a certified Nurse Practitioner practicing in Provo, UT. With approximately 25 years of clinical experience since completing medical education in 2001, Mark Boyack delivers high-quality medical care to the local community at 1055 N 500 W.

Mark Boyack is affiliated with Revere Health Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Suite 222

Provo, UT 846043305

Telephone 8013774623

Fax 8013776832

Associated Practice Facility / Clinic

🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +15.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 8.4 Yrs

Regional Practice Density

99 Specialists

Practicing in Provo, UT (1143 Statewide)

Telehealth Adoption Rate

31.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boyack (25 Years) 25 Yrs

Provo Specialty Average (9.2 Years) 9.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	244	$215.70	$103.04
36415 Insertion of needle into vein for collection of blood sample	467	216	$15.91	$8.59
80069 Kidney function blood test panel	467	220	$19.00	$8.44
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	403	282	$35.00	$13.29
81001 Manual urinalysis test with examination using microscope, automated	338	189	$16.00	$3.09
83970 Parathormone (parathyroid hormone) level	303	177	$87.00	$40.23
82570 Creatinine level to test for kidney function or muscle injury	272	169	$9.00	$5.06
82306 Vitamin d-3 level	195	124	$62.00	$29.01
84156 Total protein level, urine	189	122	$8.00	$3.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	173	116	$13.92	$7.52
82043 Urine microalbumin (protein) level	134	98	$13.00	$5.62
99213 Established patient office or other outpatient visit, typically 15 minutes	111	93	$152.59	$73.18
84550 Uric acid level, blood	89	46	$10.00	$4.39
83735 Magnesium level	81	58	$14.00	$6.57
83036 Hemoglobin A1C level	79	56	$21.00	$9.42
83540 Iron level	75	46	$14.00	$6.34
82728 Ferritin (blood protein) level	74	45	$29.00	$13.36
83550 Iron binding capacity	74	45	$19.00	$8.57
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	52	23	$569.88	$234.28
G0008 Administration of influenza virus vaccine	26	26	$19.00	$18.62
99442 Telephone medical discussion with physician, 11-20 minutes	25	22	$152.28	$69.50
90653 Vaccine for influenza for injection into muscle	22	22	$89.00	$81.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$282.00	$135.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	503	222	$14.68	$8.38
80069 Kidney function blood test panel	476	221	$19.00	$8.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	249	$211.74	$102.78
81001 Manual urinalysis test with examination using microscope, automated	332	179	$16.00	$3.10
83970 Parathormone (parathyroid hormone) level	294	162	$87.00	$40.11
82570 Creatinine level to test for kidney function or muscle injury	269	164	$9.00	$5.06
84156 Total protein level, urine	213	130	$8.00	$3.59
82306 Vitamin d-3 level	211	127	$62.00	$28.89
99213 Established patient office or other outpatient visit, typically 15 minutes	185	147	$149.85	$72.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	174	97	$13.10	$7.54
83735 Magnesium level	91	54	$14.00	$6.51
84550 Uric acid level, blood	79	43	$10.00	$4.34
82043 Urine microalbumin (protein) level	76	57	$13.00	$5.66
83540 Iron level	58	34	$14.00	$6.25
83550 Iron binding capacity	58	34	$19.00	$8.44
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	50	25	$563.88	$238.29
83036 Hemoglobin A1C level	48	29	$21.00	$9.52
82728 Ferritin (blood protein) level	47	30	$29.00	$13.12
99442 Telephone medical discussion with physician, 11-20 minutes	33	27	$150.00	$70.44
G0008 Administration of influenza virus vaccine	17	17	$19.00	$18.62
90662 Influenza vaccine split virus, preservative free	15	15	$101.00	$71.93
82607 Cyanocobalamin (vitamin B-12) level	13	11	$32.00	$14.78

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	444	222	$208.93	$103.75
36415 Insertion of needle into vein for collection of blood sample	396	185	$10.00	$2.93
80069 Kidney function blood test panel	351	177	$19.00	$8.50
81001 Manual urinalysis test with examination using microscope, automated	238	138	$16.00	$3.11
83970 Parathormone (parathyroid hormone) level	196	128	$87.00	$40.03
82570 Creatinine level to test for kidney function or muscle injury	158	108	$9.00	$5.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	129	89	$14.00	$7.56
82306 Vitamin d-3 level	95	73	$62.00	$28.70
84156 Total protein level, urine	83	64	$8.00	$3.61
82043 Urine microalbumin (protein) level	80	57	$13.06	$5.70
83735 Magnesium level	79	53	$14.00	$6.54
84550 Uric acid level, blood	50	28	$10.00	$4.31
99442 Telephone medical discussion with physician, 11-20 minutes	47	31	$145.91	$69.38
83540 Iron level	45	31	$14.00	$6.26
83550 Iron binding capacity	45	31	$19.00	$8.45
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$147.97	$71.26
83036 Hemoglobin A1C level	38	27	$21.00	$9.37
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	26	20	$559.62	$243.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	364	178	$10.00	$2.96
80069 Kidney function blood test panel	358	173	$19.00	$8.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	205	$207.65	$104.65
83970 Parathormone (parathyroid hormone) level	196	128	$87.00	$40.57
99213 Established patient office or other outpatient visit, typically 15 minutes	179	153	$146.26	$74.31
81001 Manual urinalysis test with examination using microscope, automated	177	108	$16.00	$3.14
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	141	90	$14.00	$7.68
82570 Creatinine level to test for kidney function or muscle injury	123	81	$9.00	$5.18
83735 Magnesium level	100	65	$14.00	$6.59
82306 Vitamin d-3 level	86	59	$62.00	$28.44
82043 Urine microalbumin (protein) level	79	56	$14.00	$5.78
84156 Total protein level, urine	46	29	$8.00	$3.67
83550 Iron binding capacity	42	27	$19.00	$8.57
83540 Iron level	42	27	$14.00	$6.34
99442 Telephone medical discussion with physician, 11-20 minutes	33	26	$130.00	$73.25
84550 Uric acid level, blood	32	21	$10.00	$4.52
G0008 Administration of influenza virus vaccine	21	21	$19.00	$13.73
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	21	21	$100.00	$66.43
83036 Hemoglobin A1C level	16	15	$21.00	$9.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	229	$133.65	$61.14
99442 Telephone medical discussion with physician, 11-20 minutes	88	78	$123.64	$60.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	58	$194.73	$88.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$82.00	$37.36
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	14	13	$439.00	$201.57
G0008 Administration of influenza virus vaccine	13	13	$19.00	$16.18
99441 Telephone medical discussion with physician, 5-10 minutes	13	12	$80.00	$36.27
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$100.00	$61.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	398	276	$122.94	$61.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	94	$181.83	$90.80
G0008 Administration of influenza virus vaccine	22	22	$19.77	$15.91
90653 Vaccine for influenza for injection into muscle	20	20	$63.00	$58.34
36415 Insertion of needle into vein for collection of blood sample	12	12	$10.00	$2.94
80069 Kidney function blood test panel	11	11	$18.00	$9.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	156	$122.00	$59.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	90	$180.00	$87.72
99213 Established patient office or other outpatient visit, typically 15 minutes	71	50	$122.00	$43.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	31	$180.00	$64.96
G0008 Administration of influenza virus vaccine	31	31	$36.00	$18.86
36415 Insertion of needle into vein for collection of blood sample	28	22	$10.00	$2.94
90653 Vaccine for influenza for injection into muscle	27	27	$58.00	$51.60
80069 Kidney function blood test panel	24	21	$18.00	$10.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	11	$16.00	$9.40
G0009 Administration of pneumococcal vaccine	12	12	$36.00	$19.49
83970 Parathormone (parathyroid hormone) level	11	11	$87.00	$49.94

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	212	133	$170.00	$87.23
99213 Established patient office or other outpatient visit, typically 15 minutes	173	137	$116.00	$60.05
99213 Established patient office or other outpatient visit, typically 15 minutes	56	44	$116.00	$42.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	35	$170.00	$65.88
G0008 Administration of influenza virus vaccine	20	20	$19.00	$18.62
90662 Influenza vaccine split virus, preservative free	18	18	$49.11	$46.47
80069 Kidney function blood test panel	16	15	$20.00	$11.51
36415 Insertion of needle into vein for collection of blood sample	16	15	$10.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$172.00	$89.23

Medical Specialties & State Licenses

CMS Verified: 2020-08-25

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 279656-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Palmetto Gba

500030477

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8014298000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Terry Hammond , MD

Internal Medicine - Nephrology

NPI 1124064845

Doctor of Medicine (M.D.)

Dr. Ashley Radmall , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1346824950

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Mariusz Kielar , MD

Internal Medicine - Nephrology

NPI 1548588114

Doctor of Medicine (M.D.)

Molly Brotherson , PA

Physician Assistant

NPI 1578598132

Physician Assistant

Venus Velez , FNP-C

Nurse Practitioner - Family

NPI 1700753845

Family Nurse Practitioner (Certified)

Dr. Zachary Freestone , DO

Internal Medicine - Nephrology

NPI 1790070449

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 17, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2007

Registered at 1055 N 500 W, SUITE 222, PROVO, UT 846043305 (Tel: 8013774623)

📍

Updated Business Mailing Address October 17, 2007

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8013548225)

👤

Provider Name / Credentials Updated October 17, 2007

Recorded as MARK BOYACK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2007

Nurse Practitioner (License #279656-4405 in UT)

🟢

Initial NPI Registration & Enumeration June 12, 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: 1750323986

Entity Type:

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

Enumeration Date: June 12, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

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

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