Active NPI 1629035795 Individual Practitioner Male Practitioner

Gary E Nelson , PA-C

Physician Assistant - Medical • Provo, UT

Professional Overview & Biography Verified Profile Summary

Gary Nelson, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Provo, UT. Practice services are available at 150 E CENTER ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 E Center St
Suite 1100

Provo, UT 846063106

Telephone 8013747011

Fax 8013747009

Associated Practice Facility / Clinic

🏢 Health Clinics Of Utah Facility NPI 1982669982

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Provo, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.7 Yrs

State Avg: 12.8 Yrs

Regional Practice Density

18 Specialists

Practicing in Provo, UT (381 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

27.8% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	11	$106.51	$75.57
36415 Insertion of needle into vein for collection of blood sample	15	12	$10.15	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$106.51	$73.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$106.51	$69.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$63.45	$45.67
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	28	27	$50.00	$32.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	18	$108.00	$61.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$160.00	$90.19
36415 Insertion of needle into vein for collection of blood sample	17	13	$7.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	29	$101.47	$61.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	20	$150.49	$89.76
36415 Insertion of needle into vein for collection of blood sample	13	11	$7.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	36	$100.00	$58.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	33	$147.00	$84.90
36415 Insertion of needle into vein for collection of blood sample	24	18	$7.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	53	$100.00	$57.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	37	$147.00	$84.60
36415 Insertion of needle into vein for collection of blood sample	54	36	$7.00	$2.89

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License UT 105991-1206

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

05664 (UT)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Judith Berry , FNP

Nurse Practitioner - Family

NPI 1104884253

Family Nurse Practitioner

Rebecca Cate , FNP

Nurse Practitioner

NPI 1184701443

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2013

Registered at 150 E CENTER ST, SUITE 1100, PROVO, UT 846063106 (Tel: 8013747011)

📍

Updated Business Mailing Address January 02, 2013

Registered at 150 E CENTER ST, SUITE 1100, PROVO, UT 846063106 (Tel: 8013747011)

👤

Provider Name / Credentials Updated January 02, 2013

Recorded as GARY NELSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Physician Assistant (License #105991-1206 in UT)

🟢

Initial NPI Registration & Enumeration May 01, 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: 1629035795

Entity Type:

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

Enumeration Date: May 01, 2006

Last Update: January 02, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

150 E Center St, Suite 1100

Provo, UT 846063106

Phone: 8013747011

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.