BRYAN ELLIS PA-C
NPI 1174288575
Physician Assistant in Lehi, UT

Active since November 01, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
680 E MAIN ST STE 201, LEHI, UT 84043(801) 768-8800 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2023, Nov 1, 2021 (2 updates tracked since 2021).

About Bryan Ellis Pa-c NPPES

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

BRYAN ELLIS PA-C (NPI 1174288575) is an individual physician assistant in Lehi, Utah, licensed in Utah (12537569-1206) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174288575
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN ELLISCredential: PA-C
Location Address680 E MAIN ST STE 201Lehi, UT 84043-2251
Mailing Address13658 S Fort StDraper, UT 84020-9278
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 1, 2021
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
NPI 1174288575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 12537569-1206
Definition
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.
680 E MAIN ST STE 201, Lehi, UT 84043

Secondary Practice Locations 2

Location 162 E Thrive Dr Ste 220Saratoga Springs, UT 84045-5560 · Phone (801) 768-8800 · Fax (801) 820-8200
Location 21055 N 300 W Ste 303Provo, UT 84604-3373 · Phone (801) 768-8800 · Fax (801) 820-8200

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

Bryan Ellis 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 ID648661744
PECOS Enrollment IDI20211228001795
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Gastroenterology)
680 E MAIN ST STE 201
LEHI, UT 84043
Dermatology
680 E MAIN ST STE 201
LEHI, UT 84043
Nurse Practitioner (Family)
680 E MAIN ST STE 201
LEHI, UT 84043
Physician Assistant (Medical)
680 E MAIN ST STE 201
LEHI, UT 84043

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 Bryan Ellis's NPI number?

The NPI number for Bryan Ellis is 1174288575. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Bryan Ellis located?

Bryan Ellis practices at 680 E Main St Ste 201, Lehi, UT 84043. The listed phone number is (801) 768-8800.

What is Bryan Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bryan Ellis enrolled in Medicare?

Yes. Bryan Ellis 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 Bryan Ellis accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Bryan Ellis 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.

When was this NPI record last updated?

The NPPES record for Bryan Ellis was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.