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Active NPI 1194340158 Individual Practitioner Male Practitioner

Ty Dallas Mangum , PA

Physician Assistant • St George, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ty Mangum, PA is a certified Physician Assistant practicing in St George, UT. With approximately 5 years of clinical experience since completing medical education in 2021, Ty Mangum delivers high-quality medical care to the local community at 595 W 600 N.

Ty Mangum is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

595 W 600 N

St George, UT 847702609

Telephone 4356802309

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 St George, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
103 Specialists

Practicing in St George, UT (1904 Statewide)

Telehealth Adoption Rate
9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mangum (5 Years) 5 Yrs
St George Specialty Average (11.8 Years) 11.8 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
99285 Emergency department visit for life threatening or functioning severity
38 38 $743.62 $142.50
99284 Emergency department visit with moderate level of medical decision making
21 21 $499.71 $98.34

Medical Specialties & State Licenses

CMS Verified: 2022-01-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085008692

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1303 N Main St, Cedar City, UT 847219746

Ihc Health Services Inc

1380 E Medical Ctr Dr, St George, UT 847902123

Phone: 4352511000

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2020

Registered at 595 W 600 N, ST GEORGE, UT 847702609 (Tel: 4356802309)

📍
Updated Business Mailing Address June 15, 2020

Registered at 595 W 600 N, ST GEORGE, UT 847702609 (Tel: 4356802309)

👤
Provider Name / Credentials Updated June 15, 2020

Recorded as TY MANGUM, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 15, 2020

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: 1194340158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2020
Last Update: January 04, 2022
Sole Proprietor: No

Mailing Address

595 W 600 N

St George, UT 847702609

Phone: 4356802309

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.