Active NPI 1831674092 Individual Practitioner Male Practitioner

Robert Ivan Wollenzien

Physician Assistant • Salem, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Robert Wollenzien is a certified Physician Assistant practicing in Salem, UT. With approximately 8 years of clinical experience since completing medical education in 2018, Robert Wollenzien delivers high-quality medical care to the local community at 555 WEST SR 164.

Robert Wollenzien is affiliated with Revere Health Pc 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, 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

555 West Sr 164

Salem, UT 84653

Telephone 8014654813

Fax 8018125433

Associated Practice Facility / Clinic

🏢 Ahc Of Salem Llc Facility NPI 1548706260

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, UT

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -3.1 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

11 Specialists

Practicing in Salem, UT (1904 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wollenzien (8 Years) 8 Yrs

Salem Specialty Average (11.1 Years) 11.1 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	495	304	$215.14	$103.03
36415 Insertion of needle into vein for collection of blood sample	267	204	$15.92	$8.59
99213 Established patient office or other outpatient visit, typically 15 minutes	262	187	$152.79	$72.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	153	137	$13.93	$7.61
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	143	120	$35.00	$13.25
80053 Blood test, comprehensive group of blood chemicals	142	135	$22.92	$10.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$191.00	$104.47
83036 Hemoglobin A1C level	112	86	$17.89	$9.46
80061 Blood test, lipids (cholesterol and triglycerides)	103	102	$28.00	$13.12
80048 Blood test, basic group of blood chemicals (calcium, total)	82	66	$18.00	$8.29
81003 Automated urinalysis test	57	46	$4.95	$2.20
84443 Blood test, thyroid stimulating hormone (TSH)	53	49	$35.89	$16.46
82570 Creatinine level to test for kidney function or muscle injury	52	52	$9.00	$5.08
82043 Urine microalbumin (protein) level	52	52	$13.00	$5.66
G0008 Administration of influenza virus vaccine	51	51	$19.00	$18.62
90662 Influenza vaccine split virus, preservative free	50	50	$98.12	$81.23
84439 Thyroxine (thyroid chemical), free	39	37	$19.00	$8.84
G0103 Prostate cancer screening; prostate specific antigen test (psa)	22	22	$39.00	$18.92
81001 Manual urinalysis test with examination using microscope, automated	19	17	$16.00	$3.11
82728 Ferritin (blood protein) level	14	11	$29.00	$13.36
99495 Transitional care management services for problem of at least moderate complexity	13	13	$347.00	$166.27
85652 Red blood cell sedimentation rate, to detect inflammation, automated	12	12	$6.00	$2.65
84153 Psa (prostate specific antigen) measurement, total	11	11	$39.00	$18.02

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	503	326	$211.77	$103.04
36415 Insertion of needle into vein for collection of blood sample	256	193	$14.55	$8.33
99213 Established patient office or other outpatient visit, typically 15 minutes	198	148	$149.80	$73.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$191.00	$103.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	148	136	$13.21	$7.61
80053 Blood test, comprehensive group of blood chemicals	133	130	$22.22	$10.35
83036 Hemoglobin A1C level	132	103	$17.82	$9.52
80061 Blood test, lipids (cholesterol and triglycerides)	113	111	$28.00	$12.89
80048 Blood test, basic group of blood chemicals (calcium, total)	59	48	$18.00	$8.29
84443 Blood test, thyroid stimulating hormone (TSH)	53	47	$35.17	$16.46
G0008 Administration of influenza virus vaccine	44	44	$19.00	$18.62
90662 Influenza vaccine split virus, preservative free	42	42	$101.00	$71.93
84439 Thyroxine (thyroid chemical), free	40	36	$19.00	$8.84
81003 Automated urinalysis test	37	32	$5.14	$2.20
82043 Urine microalbumin (protein) level	31	31	$13.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	31	31	$9.00	$5.08
84153 Psa (prostate specific antigen) measurement, total	26	25	$39.00	$18.02
85652 Red blood cell sedimentation rate, to detect inflammation, automated	22	19	$6.00	$2.65
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$39.00	$18.92
86140 Measurement C-reactive protein for detection of infection or inflammation	15	13	$11.00	$5.08
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$403.40	$280.95
G0009 Administration of pneumococcal vaccine	15	15	$19.00	$18.62
82607 Cyanocobalamin (vitamin B-12) level	11	11	$32.00	$14.78

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	383	299	$208.92	$103.69
99213 Established patient office or other outpatient visit, typically 15 minutes	308	214	$147.94	$73.65
36415 Insertion of needle into vein for collection of blood sample	255	216	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	161	153	$14.00	$7.67
80053 Blood test, comprehensive group of blood chemicals	154	151	$23.00	$10.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$191.90	$106.36
80061 Blood test, lipids (cholesterol and triglycerides)	123	123	$28.00	$13.21
83036 Hemoglobin A1C level	122	106	$17.98	$9.51
84443 Blood test, thyroid stimulating hormone (TSH)	62	61	$36.00	$16.59
80048 Blood test, basic group of blood chemicals (calcium, total)	47	42	$18.00	$8.34
84439 Thyroxine (thyroid chemical), free	43	42	$19.00	$8.90
G0008 Administration of influenza virus vaccine	38	38	$19.00	$18.62
82570 Creatinine level to test for kidney function or muscle injury	36	36	$9.00	$5.13
82043 Urine microalbumin (protein) level	36	36	$13.11	$5.72
90662 Influenza vaccine split virus, preservative free	33	33	$94.00	$68.54
81003 Automated urinalysis test	31	28	$4.97	$2.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	26	26	$39.19	$19.05
99441 Telephone medical discussion with physician, 5-10 minutes	21	20	$88.90	$45.47
84153 Psa (prostate specific antigen) measurement, total	20	20	$39.00	$18.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$91.94	$45.71
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$223.00	$29.63
82607 Cyanocobalamin (vitamin B-12) level	16	16	$32.00	$14.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	12	$40.00	$11.59
85652 Red blood cell sedimentation rate, to detect inflammation, automated	15	15	$6.00	$2.67
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$138.50	$74.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$286.45	$136.61
86140 Measurement C-reactive protein for detection of infection or inflammation	11	11	$11.00	$5.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	349	234	$146.48	$74.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	257	$207.35	$105.88
36415 Insertion of needle into vein for collection of blood sample	206	170	$10.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	140	129	$14.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	127	125	$23.00	$10.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$205.22	$108.55
80061 Blood test, lipids (cholesterol and triglycerides)	105	105	$28.00	$13.39
83036 Hemoglobin A1C level	89	76	$21.00	$9.62
84443 Blood test, thyroid stimulating hormone (TSH)	54	52	$36.00	$16.80
G0008 Administration of influenza virus vaccine	44	44	$19.00	$13.73
90662 Influenza vaccine split virus, preservative free	42	42	$84.00	$65.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	31	$90.75	$45.93
80048 Blood test, basic group of blood chemicals (calcium, total)	36	30	$18.00	$8.46
82570 Creatinine level to test for kidney function or muscle injury	34	34	$9.00	$5.18
81003 Automated urinalysis test	34	29	$7.00	$2.25
82043 Urine microalbumin (protein) level	34	34	$14.00	$5.78
84439 Thyroxine (thyroid chemical), free	32	31	$19.00	$9.02
J1040 Injection, methylprednisolone acetate, 80 mg	25	18	$17.92	$10.66
82607 Cyanocobalamin (vitamin B-12) level	25	25	$32.00	$15.08
99441 Telephone medical discussion with physician, 5-10 minutes	25	22	$80.00	$45.93
G0103 Prostate cancer screening; prostate specific antigen test (psa)	23	23	$44.00	$19.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	12	$43.00	$11.55
81001 Manual urinalysis test with examination using microscope, automated	21	18	$16.00	$3.17
20610 Aspiration and/or injection of fluid from large joint	20	15	$160.65	$53.99
86140 Measurement C-reactive protein for detection of infection or inflammation	14	12	$11.00	$5.18
82728 Ferritin (blood protein) level	13	11	$29.00	$13.63
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$223.00	$30.67
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$130.00	$75.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$282.73	$138.17
84153 Psa (prostate specific antigen) measurement, total	11	11	$39.00	$18.39

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	281	203	$194.17	$89.10
99213 Established patient office or other outpatient visit, typically 15 minutes	141	113	$134.32	$61.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$210.52	$94.84
83036 Hemoglobin A1C level	51	41	$20.88	$9.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	36	$82.00	$37.20
99441 Telephone medical discussion with physician, 5-10 minutes	21	20	$72.29	$35.74
G0008 Administration of influenza virus vaccine	21	20	$19.00	$16.20
90662 Influenza vaccine split virus, preservative free	18	17	$67.67	$60.30
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$107.14	$58.53
81003 Automated urinalysis test	14	12	$6.64	$2.23

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	30	29	$181.87	$89.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	16	14	$10.00	$2.77

Medical Specialties & State Licenses

CMS Verified: 2020-04-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 10990701-1206

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

555 W Sr, Salem, UT 84653

Phone: 8014654813

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Garry Miller , DO

Internal Medicine

NPI 1053568592

Doctor of Osteopathic Medicine (D.O.)

Dr. Tala'at Al-Shuqairat , MD

Internal Medicine - Pulmonary Disease

NPI 1104875574

Doctor of Medicine (M.D.)

Dr. Troy Lunceford , MD

Internal Medicine

NPI 1194842286

Doctor of Medicine (M.D.)

Shawn Hill , MPAS

Physician Assistant

NPI 1205224276

Dr. David Bennion , MD

Internal Medicine

NPI 1255435244

Doctor of Medicine (M.D.)

Dr. Brian Clements , DO

Internal Medicine

NPI 1265540009

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 03, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2018

Registered at 555 WEST SR 164, SALEM, UT 84653 (Tel: 8014654813)

📍

Updated Business Mailing Address October 03, 2018

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

👤

Provider Name / Credentials Updated October 03, 2018

Recorded as ROBERT WOLLENZIEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2018

Physician Assistant (License #10990701-1206 in UT)

🟢

Initial NPI Registration & Enumeration October 03, 2018

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: 1831674092

Entity Type:

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

Enumeration Date: October 03, 2018

Last Update: November 27, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn. Credentialing

Provo, UT 84604

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

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