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Active NPI 1417432501 Individual Practitioner Male Practitioner

Ty Cannon , PA-C

Physician Assistant • St George, UT

Professional Overview & Biography Verified Profile Summary

Ty Cannon, PA-C is a registered healthcare professional specializing in Physician Assistant in St George, UT. Practice services are available at 616 S RIVER RD STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

616 S River Rd Ste 200

St George, UT 847902105

Telephone 4356288944
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St George, UT

Active Practitioner
Practitioner Clinical Experience
Active
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
28.8% 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 (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
79 73 $90.00 $73.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
71 70 $130.00 $103.17
G0444 Annual depression screening, 5 to 15 minutes
60 60 $17.50 $14.95
93000 Routine ekg using at least 12 leads including interpretation and report
58 58 $25.00 $11.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
57 57 $120.00 $103.78
83036 Hemoglobin A1C level
33 32 $25.00 $9.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
24 22 $40.00 $11.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
17 17 $10.00 $1.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $130.00 $89.61

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 10974132-1206

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2018

Registered at 616 S RIVER RD STE 200, ST GEORGE, UT 847902105 (Tel: 4356288944)

📍
Updated Business Mailing Address September 25, 2018

Registered at 150 N 1100 E UNIT 50, WASHINGTON, UT 847802883 (Tel: 4352312961)

👤
Provider Name / Credentials Updated September 25, 2018

Recorded as TY CANNON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2018

Physician Assistant (License #10974132-1206 in UT)

🟢
Initial NPI Registration & Enumeration September 25, 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: 1417432501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2018
Last Update: September 25, 2018
Sole Proprietor: No

Mailing Address

150 N 1100 E Unit 50

Washington, UT 847802883

Phone: 4352312961

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.