Active NPI 1467451609 Individual Practitioner Male Practitioner

Bret D Hilton , PA

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bret Hilton, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 34 years of clinical experience since completing medical education in 1992, Bret Hilton delivers high-quality medical care to the local community at 280 RIVER PARK DR.

Bret Hilton maintains professional affiliations with Wayne Community Health Centers, Inc., Gunnison Valley Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

280 River Park Dr
Suite 120

Provo, UT 846045764

Telephone 8012292011

Associated Practice Facility / Clinic

🏢 Webb Physical Therapy Inc Facility NPI 1306891080

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +23.9 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

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hilton (34 Years) 34 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	27	19	$203.04	$97.79
36415 Insertion of needle into vein for collection of blood sample	13	13	$10.00	$8.02

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	53	33	$202.94	$101.65
36415 Insertion of needle into vein for collection of blood sample	23	21	$9.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$190.00	$72.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	43	42	$58.00	$7.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$171.31	$105.48
80061 Blood test, lipids (cholesterol and triglycerides)	28	28	$31.00	$13.36
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$116.00	$72.74
83036 Hemoglobin A1C level	24	22	$26.00	$9.68
80048 Blood test, basic group of blood chemicals (calcium, total)	13	12	$59.00	$8.45
81003 Automated urinalysis test	12	12	$12.00	$2.25

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	477	210	$171.00	$106.28
99213 Established patient office or other outpatient visit, typically 15 minutes	121	90	$116.00	$74.63
J0696 Injection, ceftriaxone sodium, per 250 mg	92	15	$2.00	$0.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$219.00	$108.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	17	$2.98	$1.27
G0008 Administration of influenza virus vaccine	48	48	$34.00	$13.50
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	44	44	$74.00	$64.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	28	$43.00	$11.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	28	$232.00	$149.07
81003 Automated urinalysis test	38	33	$13.84	$2.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$69.00	$45.93

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	507	224	$171.00	$89.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	99	26	$2.98	$1.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$260.00	$95.29
G0008 Administration of influenza virus vaccine	57	57	$33.95	$15.93
90662 Influenza vaccine split virus, preservative free	53	53	$76.38	$59.48
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$115.37	$61.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	19	$43.00	$11.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$232.00	$121.63
G0009 Administration of pneumococcal vaccine	28	28	$33.00	$15.52
81003 Automated urinalysis test	27	24	$5.00	$2.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$157.00	$112.43
20610 Aspiration and/or injection of fluid from large joint	24	15	$157.00	$44.40
17000 Destruction of skin growth	15	11	$153.00	$44.84
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$289.00	$141.36
69210 Removal of impacted ear wax	11	11	$98.00	$36.41

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	620	237	$171.00	$90.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	111	30	$3.00	$1.59
J0696 Injection, ceftriaxone sodium, per 250 mg	86	17	$2.00	$0.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$260.00	$97.07
99213 Established patient office or other outpatient visit, typically 15 minutes	79	72	$116.00	$61.97
G0444 Annual depression screening, 5 to 15 minutes	74	74	$29.00	$14.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	37	$43.00	$13.79
G0008 Administration of influenza virus vaccine	44	42	$33.00	$15.55
81003 Automated urinalysis test	41	31	$11.00	$2.38
90662 Influenza vaccine split virus, preservative free	40	38	$65.50	$53.19
96127 Assessment of emotional or behavioral problems	32	32	$11.00	$4.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$289.00	$143.81
17003 Destruction of precancer skin growth, 2-14 growths	26	14	$18.00	$4.70
20610 Aspiration and/or injection of fluid from large joint	22	17	$154.77	$47.65
17000 Destruction of skin growth	20	17	$149.00	$54.45
G0009 Administration of pneumococcal vaccine	15	15	$33.00	$14.85
69210 Removal of impacted ear wax	15	11	$95.00	$39.89
90670 Pneumococcal vaccine for injection into muscle	12	12	$277.75	$189.26

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	692	254	$170.00	$88.68
J0696 Injection, ceftriaxone sodium, per 250 mg	154	26	$2.00	$0.61
99213 Established patient office or other outpatient visit, typically 15 minutes	102	89	$115.00	$59.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	99	99	$287.00	$141.84
G0008 Administration of influenza virus vaccine	64	64	$32.91	$19.49
90662 Influenza vaccine split virus, preservative free	55	55	$60.25	$52.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	37	$43.00	$16.70
81003 Automated urinalysis test	51	33	$11.00	$2.71
G0009 Administration of pneumococcal vaccine	30	30	$32.90	$19.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	29	11	$2.95	$1.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$173.00	$90.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$118.47	$105.59
90670 Pneumococcal vaccine for injection into muscle	13	13	$250.00	$200.07

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	418	225	$170.00	$88.35
J0696 Injection, ceftriaxone sodium, per 250 mg	158	38	$5.37	$0.61
99213 Established patient office or other outpatient visit, typically 15 minutes	82	73	$115.00	$58.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	49	$43.00	$20.09
81003 Automated urinalysis test	37	31	$11.00	$3.02
G0008 Administration of influenza virus vaccine	32	32	$30.00	$23.96
90662 Influenza vaccine split virus, preservative free	28	28	$54.00	$48.05
17000 Destruction of skin growth	12	11	$142.00	$54.50

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 106867-1206

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

Wayne Community Health Centers, Inc.

30 S Hwy 95, Hanksville, UT 84734

Phone: 4354253744

Wayne Community Health Centers, Inc.

Po Box, Bicknell, UT 847150303

Gunnison Valley Hospital

63 W 550, Salina, UT 846541234

Phone: 4355292215

Practice Associates & Co-Workers

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

3 Associated Practitioners

Steven Nielson , PA

Physician Assistant

NPI 1184623217

Physician Assistant

Dr. Douglas Murdock , MD

Emergency Medicine

NPI 1194723320

Doctor of Medicine (M.D.)

James Carly , PA-C

Physician Assistant - Medical

NPI 1316240575

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 280 RIVER PARK DR, SUITE 120, PROVO, UT 846045764 (Tel: 8012292011)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 27688, SALT LAKE CITY, UT 841270688 (Tel: 8015341360)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BRET HILTON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #106867-1206 in UT)

🟢

Initial NPI Registration & Enumeration July 19, 2005

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: 1467451609

Entity Type:

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

Enumeration Date: July 19, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27688

Salt Lake City, UT 841270688

Phone: 8015341360

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.