CRAIG AARON PACKHAM PA-C
NPI 1104920354
Physician Assistant - Medical in Tooele, UT

Active since September 09, 2006PECOS EnrolledAccepts Medicare Assignment
73.92/100
CMS Quality Rating
2356 N 400 E, STE 102, TOOELE, UT 84074(435) 833-9180(435) 833-9177 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Craig Aaron Packham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG AARON PACKHAM PA-C (NPI 1104920354) is an individual medical provider in Tooele, Utah, licensed in Utah (51058218002) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mountain West Medical Center, and maintains a secondary practice location in Tooele.

NPPES Registry Identity

NPI1104920354
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCRAIG AARON PACKHAMCredential: PA-C
Location Address2356 N 400 E, STE 102Tooele, UT 84074
Mailing Address2356 N 400 E, Ste 102Tooele, UT 84074 · (435) 833-9180 · Fax (435) 833-9177
Fax(435) 833-9177
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 9, 2006
Last NPPES UpdateJuly 15, 2019
NPI 1104920354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 51058218002
2356 N 400 E, Tooele, UT 84074

Secondary Practice Location 1

Location 12356 N 400 E Ste 201Tooele, UT 84074-3409 · Phone (435) 882-2350 · Fax (435) 880-2039

Other Identifiers 1

MedicaidD4703UT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Craig Aaron Packham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860559523
PECOS Enrollment IDI20090324000542
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
240 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services57 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
58 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services32 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
18 services16 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
14 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.94
Promoting Interoperability95
Improvement Activities40
Cost18.29

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$15.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$70.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2356 N 400 E, STE 201
TOOELE, UT 84074
Family Medicine
2356 N 400 E, STE 201
TOOELE, UT 84074
Family Medicine
2356 N 400 E, STE. 201
TOOELE, UT 84074
Family Medicine
2356 N 400 E, STE 201
TOOELE, UT 84074
Podiatrist (Foot & Ankle Surgery)
2356 N 400 E, STE 104
TOOELE, UT 84074
Social Worker (Clinical)
2356 N 400 E
TOOELE, UT 84074
Clinic/Center
2356 N 400 E, SUITE 202
TOOELE, UT 84074
Counselor (Professional)
2356 N 400 E, SUITE 202
TOOELE, UT 84074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Packham's NPI number?

The NPI number for Craig Packham is 1104920354. It was assigned to this individual provider in the NPPES registry on September 9, 2006.

Where is Craig Packham located?

Craig Packham practices at 2356 N 400 E Ste 102, Tooele, UT 84074. The listed phone number is (435) 833-9180.

What is Craig Packham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Craig Packham enrolled in Medicare?

Yes. Craig Packham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Craig Packham accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Craig Packham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Craig Packham affiliated with any hospitals?

According to CMS data, Craig Packham is affiliated with Mountain West Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Packham was last updated on July 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.