Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396814778 Individual Practitioner Male Practitioner

Lucius Nmn Gordon , PA-C

Physician Assistant • Roy, UT

Professional Overview & Biography Verified Profile Summary

Lucius Gordon, PA-C is a registered healthcare professional specializing in Physician Assistant in Roy, UT. Practice services are available at 5640 S 3500 W under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5640 S 3500 W

Roy, UT 840679158

Telephone 8017732838
Fax 8017733025

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Roy, UT (1904 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
85 83 $115.41 $58.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 24 $170.42 $88.86
81003 Automated urinalysis test
14 14 $11.00 $2.71

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 10495233-1206

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Secondary Practice Locations

4301 Mow-Way Road, Reynolds Army Community Hospital(Attn Ms. Prescott)

Fort Sill, OK 735036300

Phone: 5804582134

4301 Mow-Way Road, Reynolds Army Community Hospital(Attn Ms. Prescott)

Fort Sill, OK 735036300

Phone: 5804582134

Practice Associates & Co-Workers

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

11 Associated Practitioners
Jerrica Stoddard , FNP

Nurse Practitioner - Family

NPI 1144584228

Family Nurse Practitioner

Jeffery Anderson , PA

Physician Assistant - Medical

NPI 1255398921

Physician Assistant

Dr. Brinton Woods , DO

Family Medicine

NPI 1336574755

Doctor of Osteopathic Medicine (D.O.)

NPI 1376744433

Doctor of Medicine (M.D.)

Micheal Dawson , PA-C

Physician Assistant

NPI 1376853036

Physician Assistant (Certified)

Curtis Shepherd , LCSW

Social Worker - Clinical

NPI 1538879515

Licensed Clinical Social Worker

Career & Practice History Timeline

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

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

Physician Assistant

NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2018

Registered at 5640 S 3500 W, ROY, UT 840679158 (Tel: 8017732838)

📍
Updated Business Mailing Address February 05, 2018

Registered at 1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

👤
Provider Name / Credentials Updated February 05, 2018

Recorded as LUCIUS GORDON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Physician Assistant (License #10495233-1206 in UT)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4301 MOW-WAY ROAD, REYNOLDS ARMY COMMUNITY HOSPITAL(ATTN MS. PRESCOTT), FORT SILL, OK 735036300 (Tel: 5804582134)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4301 MOW-WAY ROAD, REYNOLDS ARMY COMMUNITY HOSPITAL(ATTN MS. PRESCOTT), FORT SILL, OK 735036300 (Tel: 5804582134)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LUCIUS GORDON, PA-C

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

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 07, 2006

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: 1396814778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

1055 N 500 W Attn: Credentialing

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.