Active NPI 1134638810 Individual Practitioner Male Practitioner

Jaddon Trent Rogers , PA-C

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jaddon Rogers, PA-C is a certified Physician Assistant practicing in Provo, UT. With approximately 9 years of clinical experience since completing medical education in 2017, Jaddon Rogers delivers high-quality medical care to the local community at 1055 N 500 W STE 111.

Jaddon Rogers is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. 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 Ste 111

Provo, UT 846043305

Telephone 8013748999

Fax 8014298063

Associated Practice Facility / Clinic

🏢 Park City Dermatology. Co Facility NPI 1316095722

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -1.1 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

In-Person Office Visits Only

Medicare Pricing Discount

59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rogers (9 Years) 9 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
17003 Destruction of precancer skin growth, 2-14 growths	187	36	$19.00	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	122	92	$152.73	$73.35
17000 Destruction of skin growth	58	47	$126.00	$42.46
17110 Destruction of up to 14 skin growths	36	32	$216.00	$89.18
11102 Tangential biopsy of single skin lesion	26	24	$193.00	$68.96
11103 Biopsy of related skin growth, each additional growth	23	11	$103.00	$39.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$216.00	$103.50
17004 Destruction of precancer skin growth, 15 or more growths	21	17	$365.00	$133.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$187.73	$89.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	200	35	$19.00	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	141	105	$149.84	$72.81
17000 Destruction of skin growth	58	48	$126.00	$42.88
11102 Tangential biopsy of single skin lesion	34	31	$193.00	$72.09
17110 Destruction of up to 14 skin growths	27	23	$216.00	$89.51
11103 Biopsy of related skin growth, each additional growth	21	11	$103.00	$40.39
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	20	18	$923.00	$371.37
17004 Destruction of precancer skin growth, 15 or more growths	16	14	$365.00	$136.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$93.73	$45.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	259	50	$19.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	152	127	$147.93	$72.74
17000 Destruction of skin growth	71	62	$126.51	$38.86
11102 Tangential biopsy of single skin lesion	62	55	$191.45	$73.05
11103 Biopsy of related skin growth, each additional growth	48	26	$102.13	$41.54
17110 Destruction of up to 14 skin growths	31	27	$216.00	$88.70
17004 Destruction of precancer skin growth, 15 or more growths	16	13	$365.00	$136.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$208.80	$104.92
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	15	$926.60	$385.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$92.00	$45.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	371	59	$19.00	$5.33
99213 Established patient office or other outpatient visit, typically 15 minutes	115	101	$146.79	$75.74
17000 Destruction of skin growth	93	77	$132.06	$40.13
11102 Tangential biopsy of single skin lesion	68	62	$175.91	$74.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$207.02	$106.04
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	34	32	$977.06	$391.73
17110 Destruction of up to 14 skin growths	34	30	$190.71	$90.37
11103 Biopsy of related skin growth, each additional growth	27	21	$94.56	$43.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$185.44	$92.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$88.50	$46.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	676	136	$14.21	$5.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	196	$206.00	$90.25
99213 Established patient office or other outpatient visit, typically 15 minutes	255	181	$136.95	$61.97
17000 Destruction of skin growth	235	179	$154.25	$40.81
11102 Tangential biopsy of single skin lesion	211	182	$194.59	$75.49
11103 Biopsy of related skin growth, each additional growth	120	66	$103.73	$44.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$205.00	$88.88
17110 Destruction of up to 14 skin growths	69	58	$215.75	$90.95
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$140.79	$63.11
17004 Destruction of precancer skin growth, 15 or more growths	39	36	$349.00	$131.57
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	36	13	$174.00	$88.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$81.71	$37.47
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	17	$468.00	$210.54
69100 Biopsy of ear	17	17	$212.00	$43.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$600.06	$252.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	14	$473.56	$102.78
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	16	$527.00	$213.20
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$314.00	$86.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	954	196	$14.00	$4.58
17000 Destruction of skin growth	429	261	$154.97	$40.76
99213 Established patient office or other outpatient visit, typically 15 minutes	427	263	$137.00	$60.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	259	$205.87	$88.73
11102 Tangential biopsy of single skin lesion	272	204	$195.83	$75.30
11103 Biopsy of related skin growth, each additional growth	208	110	$105.00	$43.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	192	192	$205.00	$88.10
17110 Destruction of up to 14 skin growths	124	87	$215.86	$88.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	35	$603.00	$244.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	36	$476.00	$128.65
17004 Destruction of precancer skin growth, 15 or more growths	34	28	$349.00	$123.18
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$141.00	$63.30
69100 Biopsy of ear	28	21	$212.00	$43.96
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	23	23	$468.00	$150.58
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	22	22	$527.00	$212.21
87101 Fungal culture (mold or yeast) of skin, hair, or nail	21	19	$30.00	$8.06
11104 Punch biopsy, first skin growth	20	19	$246.00	$93.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$82.00	$36.27
11200 Removal of skin tag, 1-15 skin tags	17	13	$162.00	$43.19
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1143.00	$399.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	579	112	$13.99	$4.25
99213 Established patient office or other outpatient visit, typically 15 minutes	217	173	$136.95	$59.86
17000 Destruction of skin growth	203	155	$154.94	$38.71
11100 Biopsy of single growth of skin and/or tissue	155	135	$204.77	$79.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	125	$206.00	$88.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$204.87	$89.08
11101 Biopsy of each additional growth of skin and/or tissue	105	59	$66.50	$27.15
17110 Destruction of up to 14 skin growths	78	66	$216.00	$91.39
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$140.77	$62.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	30	$603.00	$247.68
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	23	$476.00	$113.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$82.00	$36.36
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$527.00	$214.67
69100 Biopsy of ear	14	14	$212.00	$44.87
17004 Destruction of precancer skin growth, 15 or more growths	14	14	$349.00	$119.97
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$596.00	$233.63

Medical Specialties & State Licenses

CMS Verified: 2021-04-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 1139688

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

Revere Health Pc

220 N 1200, Lehi, UT 840435864

Phone: 8014180920

Secondary Practice Locations

1813 W Harvard Ave Ste 310

Roseburg, OR 974712756

Phone: 5416727546

1790 Sun Peak Dr Ste A103

Park City, UT 840986625

Phone: 4356583513

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Payam Tristani-Firouzi , MD

Dermatology

NPI 1407943921

Doctor of Medicine (M.D.)

Dr. Jake Fagan , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1548688989

Doctor of Medicine (M.D.)

Dr. Kevin Gardner , DO

Dermatology

NPI 1639490386

Doctor of Osteopathic Medicine (D.O.)

Dr. Reed Garza , MD

Dermatology

NPI 1669715819

Doctor of Medicine (M.D.)

Nicole Rawle , APRN

Nurse Practitioner

NPI 1669777314

Advanced Practice Registered Nurse

Dr. Brian Bradshaw , MD

Dermatology

NPI 1811955800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 13, 2021

Registered at 1055 N 500 W STE 111, PROVO, UT 846043305 (Tel: 8013748999)

📍

Updated Practice Location June 18, 2020

Registered at 1790 SUN PEAK DR STE A103, PARK CITY, UT 840986625 (Tel: 4356583513)

📍

Updated Business Mailing Address June 18, 2020

Registered at 1790 SUN PEAK DR STE A103, PARK CITY, UT 840986625 (Tel: 8018159119)

✅

NPI Profile Active September 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2017

Registered at 1813 W HARVARD AVE STE 310, ROSEBURG, OR 974712756 (Tel: 5416727546)

📍

Updated Business Mailing Address September 25, 2017

Registered at 2380 E CLIFF SWALLOW DR, SANDY, UT 840932706 (Tel: 8018159119)

👤

Provider Name / Credentials Updated September 25, 2017

Recorded as JADDON ROGERS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2017

Physician Assistant (License #1139688 in UT)

🟢

Initial NPI Registration & Enumeration September 25, 2017

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: 1134638810

Entity Type:

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

Enumeration Date: September 25, 2017

Last Update: April 13, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1790 Sun Peak Dr Ste A103

Park City, UT 840986625

Phone: 8018159119

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.