Active NPI 1245762806 Individual Practitioner Male Practitioner

Jordan Anthony Lythgoe , PA

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jordan Lythgoe, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 9 years of clinical experience since completing medical education in 2017, Jordan Lythgoe delivers high-quality medical care to the local community at 1055 N 300 W STE 205.

Jordan Lythgoe 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, initial hospital inpatient care per day, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 N 300 W Ste 205

Provo, UT 846045044

Telephone 8013749100

Associated Practice Facility / Clinic

🏢 Utah Vascular Center Facility NPI 1336264050

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

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

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lythgoe (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
99213 Established patient office or other outpatient visit, typically 15 minutes	77	75	$205.00	$73.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	51	$129.00	$45.10
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$164.00	$66.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	95	$86.71	$45.55
99213 Established patient office or other outpatient visit, typically 15 minutes	95	90	$142.74	$72.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$203.60	$103.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$65.00	$40.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$179.00	$90.84
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$164.00	$67.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	136	$121.13	$73.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	90	$74.02	$45.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$175.26	$104.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	24	$63.45	$31.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$269.20	$136.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$114.76	$58.10
36589 Removal of central venous catheter for infusion	15	15	$396.80	$136.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$179.00	$90.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	154	$116.00	$74.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	61	$171.00	$105.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	53	$69.00	$45.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$264.00	$138.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	18	$62.00	$31.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$113.00	$59.13
36589 Removal of central venous catheter for infusion	14	14	$425.00	$138.95
99285 Emergency department visit for life threatening or functioning severity	11	11	$1272.00	$149.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	187	168	$116.00	$61.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	65	$68.99	$36.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	71	$171.00	$90.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$264.00	$134.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$173.00	$88.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	29	$67.00	$31.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$232.00	$120.78
36589 Removal of central venous catheter for infusion	14	14	$408.00	$139.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	185	169	$116.00	$60.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	93	$69.00	$36.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	94	$171.00	$88.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	30	$67.00	$32.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$264.00	$136.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$173.00	$84.96
36589 Removal of central venous catheter for infusion	23	23	$441.00	$139.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$232.00	$120.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	129	$115.00	$59.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	71	$69.00	$35.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	62	$170.00	$88.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$67.00	$33.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$173.00	$89.33
99285 Emergency department visit for life threatening or functioning severity	11	11	$1172.00	$147.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$264.00	$136.91

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	11	11	$170.00	$88.24

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 10520107-1206

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

Ihc Health Services Inc

1034 N 500, Provo, UT 846043380

Phone: 8013578879

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

98 N 1100, American Fork, UT 840032947

Ihc Health Services Inc

1034 N 500, Provo, UT 846043380

Phone: 8013578310

Ihc Health Services Inc

395 W Bulldog Blvd, Provo, UT 846043323

Secondary Practice Locations

1011 S 150 W

Orem, UT 840586825

Phone: 4356713068

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Brian Adams , MD

Surgery - Vascular Surgery

NPI 1144492943

Doctor of Medicine (M.D.)

Jason Brotherson , A, PRN

Nurse Anesthetist, Certified Registered

NPI 1205905742

James Rielly

Surgery - Vascular Surgery

NPI 1386638005

Talon Kohler , PA-C

Physician Assistant

NPI 1528732062

Physician Assistant (Certified)

Dr. Robert Smilanich , MD

Surgery - Vascular Surgery

NPI 1730187600

Doctor of Medicine (M.D.)

Dr. Bradley Bowles , MD

Surgery - Vascular Surgery

NPI 1922458892

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2017

Registered at 1055 N 300 W STE 205, PROVO, UT 846045044 (Tel: 8013749100)

📍

Updated Business Mailing Address October 03, 2017

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

👤

Provider Name / Credentials Updated October 03, 2017

Recorded as JORDAN LYTHGOE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Physician Assistant (License #10520107-1206 in UT)

✅

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2017

Registered at 1011 S 150 W, OREM, UT 840586825 (Tel: 4356713068)

📍

Updated Business Mailing Address March 31, 2017

Registered at 1011 S 150 W, OREM, UT 840586825 (Tel: 4356713068)

👤

Provider Name / Credentials Updated March 31, 2017

Recorded as JORDAN LYTHGOE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 31, 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: 1245762806

Entity Type:

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

Enumeration Date: March 31, 2017

Last Update: October 03, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.