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Active NPI 1184867574 Individual Practitioner Male Practitioner

David Maurice Blackwell , PA-C

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Blackwell, PA-C is a certified Physician Assistant practicing in Provo, UT. With approximately 18 years of clinical experience since completing medical education in 2008, David Blackwell delivers high-quality medical care to the local community at 1055 N 500 W STE 207.

David Blackwell is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of wrist, minimum of 3 views. 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 207

Provo, UT 846043305

Telephone 8013754263
Fax 8014298085
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +7.9 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
62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackwell (18 Years) 18 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
237 56 $3.00 $0.97
99213 Established patient office or other outpatient visit, typically 15 minutes
93 67 $152.74 $72.80
73110 X-ray of wrist, minimum of 3 views
68 31 $119.49 $31.60
20550 Injection into tendon or ligament
55 31 $123.95 $35.94
20600 Aspiration and/or injection of fluid from small joint
54 29 $127.46 $36.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 31 $215.88 $103.57
73140 X-ray of finger, minimum of 2 views
28 17 $111.71 $30.02
73130 X-ray of hand, minimum of 3 views
27 19 $108.89 $29.31
73120 X-ray of hand, 2 views
22 13 $92.73 $24.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $281.67 $130.42
73080 X-ray of elbow, minimum of 3 views
18 11 $97.00 $25.92
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass
17 14 $60.00 $23.36
29075 Application of elbow to finger cast
16 14 $179.50 $71.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $188.00 $90.21

Medical Specialties & State Licenses

CMS Verified: 2020-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 5505835-1206

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.

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8013754263

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Travis Peterson , DO

Orthopaedic Surgery - Hand Surgery

NPI 1033326020

Doctor of Osteopathic Medicine (D.O.)

Dr. Toby Johnson , MD

Orthopaedic Surgery - Hand Surgery

NPI 1144203258

Doctor of Medicine (M.D.)

Daniel Christensen , PA

Physician Assistant - Surgical

NPI 1184984320

Physician Assistant

Dr. Curtis Johnson , MD

Orthopaedic Surgery - Hand Surgery

NPI 1205939089

Doctor of Medicine (M.D.)

Douglas Bagley , PT

Physical Therapist - Hand

NPI 1538155411

Physical Therapist

Dr. Matthew Frazier , DO

Orthopaedic Surgery - Hand Surgery

NPI 1598977944

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 18, 2018

Registered at 1055 N 500 W STE 207, PROVO, UT 846043305 (Tel: 8013754263)

NPI Profile Active July 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2015

Registered at 1055 N 500 W, SUITE 121, PROVO, UT 846043305 (Tel: 8013737350)

📍
Updated Business Mailing Address July 02, 2015

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8014298000)

👤
Provider Name / Credentials Updated July 02, 2015

Recorded as DAVID BLACKWELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2015

Physician Assistant (License #5505835-1206 in UT)

🟢
Initial NPI Registration & Enumeration April 14, 2009

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: 1184867574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2009
Last Update: November 27, 2023
Sole Proprietor: No

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

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.