Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033803481 Individual Practitioner Female Practitioner

Stacie Glass , PA

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Stacie Glass, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 3 years of clinical experience since graduating from Yale University School Of Medicine in 2023, Stacie Glass delivers high-quality medical care to the local community at 395 W COUGAR BLVD STE 602.

Stacie Glass is affiliated with Ihc Health Services Inc 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

395 W Cougar Blvd Ste 602

Provo, UT 846043331

Telephone 8013570570
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1851807333

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glass (3 Years) 3 Yrs
Provo Specialty Average (10.1 Years) 10.1 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
75 49 $289.00 $102.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
15 15 $370.47 $104.48

Medical Specialties & State Licenses

CMS Verified: 2023-06-07
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.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

395 W Bulldog Blvd, Provo, UT 846043331

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Michael Doermann , DO

Internal Medicine

NPI 1548645195

Doctor of Osteopathic Medicine (D.O.)

Dr. Justin Jones , MD

Internal Medicine

NPI 1639564495

Doctor of Medicine (M.D.)

NPI 1902303522

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 June 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2023

Registered at 395 W COUGAR BLVD STE 602, PROVO, UT 846043331 (Tel: 8013570570)

📍
Updated Business Mailing Address June 07, 2023

Registered at 395 W COUGAR BLVD STE 602, PROVO, UT 846043331 (Tel: 8013570570)

👤
Provider Name / Credentials Updated June 07, 2023

Recorded as STACIE GLASS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 07, 2023

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: 1033803481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2023
Last Update: June 07, 2023
Sole Proprietor: No

Mailing Address

395 W Cougar Blvd Ste 602

Provo, UT 846043331

Phone: 8013570570

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.