Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417500158 Individual Practitioner Male Practitioner

David Anderson

Physician Assistant • Tooele, UT

Professional Overview & Biography Verified Profile Summary

David Anderson is a registered healthcare professional specializing in Physician Assistant in Tooele, UT. Practice services are available at 2376 N 400 E STE 102 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2376 N 400 E Ste 102

Tooele, UT 840743413

Telephone 4358431225
Associated Practice Facility / Clinic
🏢 Valley Family Medicine Pc Facility NPI 1033412481

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tooele, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Tooele, UT (1904 Statewide)

Telehealth Adoption Rate
22.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.3% 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)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
157 117 $198.66 $70.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
91 68 $295.00 $100.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
77 14 $10.00 $0.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
38 38 $246.58 $98.88
36415 Insertion of needle into vein for collection of blood sample
34 32 $20.00 $8.65
81002 Urinalysis, manual test
18 15 $10.00 $3.41
17000 Destruction of skin growth
12 12 $111.67 $52.77

Medical Specialties & State Licenses

CMS Verified: 2026-07-30
Physician Assistant Primary Specialty

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1144251711

Doctor of Medicine (M.D.)

Sara Carstensen , PA-C

Physician Assistant

NPI 1730372947

Physician Assistant (Certified)

NPI 1790300143

Doctor of Osteopathic Medicine (D.O.)

Jamison Creekmore

Physician Assistant - Medical

NPI 1871294215
Cameron Dortch , MPAS, PA-C

Physician Assistant

NPI 1982914693

MPAS, Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 30, 2026

Registered at 2376 N 400 E STE 102, TOOELE, UT 840743413 (Tel: 4358431225)

📍
Updated Business Mailing Address July 30, 2026

Registered at 1455 S 500 W STE B, BOUNTIFUL, UT 840108252 (Tel: 8017842111)

👤
Provider Name / Credentials Updated July 30, 2026

Recorded as DAVID ANDERSON

📍
Updated Practice Location February 17, 2025

Registered at 1455 S 500 W, STE B, BOUNTIFUL, UT 84010 (Tel: 8017842111)

📍
Updated Business Mailing Address February 17, 2025

Registered at 609 W 1600 S, WOODS CROSS, UT 840871606 (Tel: 8018709976)

📍
Updated Practice Location November 30, 2022

Registered at 856 BANKS LOWMAN RD, GARDEN VALLEY, ID 836228102 (Tel: 2084623533)

📍
Updated Business Mailing Address November 30, 2022

Registered at 12 COYOTE LN, GARDEN VALLEY, ID 836226006 (Tel: 8018709976)

📍
Updated Practice Location October 14, 2019

Registered at 211 E EARL ST, LEOTI, KS 678619620 (Tel: 6203752233)

NPI Profile Active July 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2019

Registered at 609 W 1600 S, WOODS CROSS, UT 840871606 (Tel: 8018709976)

📍
Updated Business Mailing Address July 22, 2019

Registered at 609 W 1600 S, WOODS CROSS, UT 840871606

👤
Provider Name / Credentials Updated July 22, 2019

Recorded as DAVID ANDERSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 22, 2019

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: 1417500158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2019
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

1455 S 500 W Ste B

Bountiful, UT 840108252

Phone: 8017842111

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.