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Active NPI 1447831961 Individual Practitioner Male Practitioner

Spencer Pili Laulusa , PA

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Spencer Laulusa, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 5 years of clinical experience since completing medical education in 2021, Spencer Laulusa delivers high-quality medical care to the local community at 395 W COUGAR BLVD STE 205.

Spencer Laulusa is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, 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

395 W Cougar Blvd Ste 205

Provo, UT 846043328

Telephone 8013571770
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1396982203

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

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
5 Yrs -5.1 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
51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Laulusa (5 Years) 5 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
49 44 $152.69 $73.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 26 $215.57 $103.48
81003 Automated urinalysis test
18 18 $6.00 $2.20
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
12 12 $68.00 $34.62

Medical Specialties & State Licenses

CMS Verified: 2026-05-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 12456226-1206

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

2183 W Main St, Lehi, UT 840436761

Phone: 8014180810

Secondary Practice Locations

1055 N 500 W

Provo, UT 846043305

Phone: 8013737350

700 W 800 N

Orem, UT 840576301

Phone: 8013737350

Practice Associates & Co-Workers

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

21 Associated Practitioners
Jessica Newberry , FNP

Nurse Practitioner - Family

NPI 1013503366

Family Nurse Practitioner

Tyson Schwab

Family Medicine

NPI 1023511961
Dr. Randy Rogers , MD

Family Medicine

NPI 1063428050

Doctor of Medicine (M.D.)

NPI 1073372553

Doctor of Osteopathic Medicine (D.O.)

Dr. John Hoyt , MD

Family Medicine

NPI 1114260361

Doctor of Medicine (M.D.)

Dr. Boston Gubler , MD

Family Medicine

NPI 1134988827

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 May 13, 2026

Registered at 395 W COUGAR BLVD STE 205, PROVO, UT 846043328 (Tel: 8013571770)

📍
Updated Business Mailing Address May 13, 2026

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Physician Assistant (License #12456226-1206 in UT)

NPI Profile Active April 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2021

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

📍
Updated Business Mailing Address April 16, 2021

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604 (Tel: 8013548225)

👤
Provider Name / Credentials Updated April 16, 2021

Recorded as SPENCER LAULUSA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 16, 2021

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: 1447831961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2021
Last Update: May 13, 2026
Sole Proprietor: No

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.