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Active NPI 1578992012 Individual Practitioner Male Practitioner

Matthew Melvin Tiemann , PA-C

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Matthew Tiemann, PA-C is a certified Physician Assistant practicing in Provo, UT. With approximately 13 years of clinical experience since completing medical education in 2013, Matthew Tiemann delivers high-quality medical care to the local community at 395 W COUGAR BLVD STE 803.

Matthew Tiemann 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, new patient outpatient office visit, residence visit for established patient with high level of medical decision making, per day, if using time, at least. 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 803

Provo, UT 846043311

Telephone 8012357246
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1699148197

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +2.9 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

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tiemann (13 Years) 13 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
103 56 $405.00 $144.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
49 33 $289.00 $103.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
15 15 $498.00 $178.39

Medical Specialties & State Licenses

CMS Verified: 2024-10-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 57636701206

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License UT 57636701206

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1578992012 (UT)

Hospital & Practice Group Affiliations

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

380 E 1500, Heber City, UT 840323942

Phone: 4356574600

Ihc Health Services Inc

395 W Bulldog Blvd, Provo, UT 846043311

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. Eric Ghelfi , PhD

Psychologist - Clinical

NPI 1003551953

Doctor of Philosophy (Ph.D.)

Dr. Jeffrey Bentley , PsyD

Clinical Neuropsychologist

NPI 1033655535

Doctor of Psychology (Psy.D.)

Megan Jensen-Hill , PA-C

Physician Assistant

NPI 1083649750

Physician Assistant (Certified)

NPI 1174054936

Doctor of Osteopathic Medicine (D.O.)

Norman Bowers , PA-C

Physician Assistant

NPI 1205267432

Physician Assistant (Certified)

NPI 1366060139

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Practice Location October 25, 2024

Registered at 395 W COUGAR BLVD STE 803, PROVO, UT 846043311 (Tel: 8012357246)

📍
Updated Business Mailing Address October 25, 2024

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2024

Physician Assistant (License #57636701206 in UT)

📍
Updated Practice Location November 25, 2020

Registered at 395 W COUGAR BLVD, PROVO, UT 846043311 (Tel: 8013737850)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2020

Physician Assistant (License #57636701206 in UT)

📍
Updated Practice Location June 29, 2018

Registered at 800 5TH AVE STE 600, SEATTLE, WA 98104 (Tel: 8882273312)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Physician Assistant (License #PA60804417 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant

NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2018

Registered at 800 5TH AVE STE 600, SEATTLE, WA 981043186 (Tel: 8882273312)

📍
Updated Business Mailing Address January 12, 2018

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

👤
Provider Name / Credentials Updated January 12, 2018

Recorded as MATTHEW TIEMANN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

Physician Assistant (License #PA60804417 in WA)

NPI Profile Active November 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2013

Registered at 589 NW 11TH ST, HERMISTON, OR 978386600 (Tel: 5415671717)

📍
Updated Business Mailing Address November 05, 2013

Registered at 589 NW 11TH ST, HERMISTON, OR 978386600 (Tel: 5415671717)

👤
Provider Name / Credentials Updated November 05, 2013

Recorded as MATTHEW TIEMANN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2013

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 05, 2013

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: 1578992012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2013
Last Update: October 25, 2024
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.