MR. MARK P PULVER PA
NPI 1205007093
Physician Assistant in Salt Lake City, UT

Active since March 19, 2008PECOS EnrolledAccepts Medicare Assignment
74.75/100
CMS Quality Rating
4252 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124(801) 262-3600(801) 262-3600 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark P Pulver Pa NPPES

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

MR. MARK P PULVER PA (NPI 1205007093) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (6766665-1206) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of University Of Utah School Of Medicine (2007).

NPPES Registry Identity

NPI1205007093
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARK P PULVERCredential: PA
Location Address4252 S HIGHLAND DR STE 200Salt Lake City, UT 84124-2690
Mailing Address4252 S Highland Dr Ste 200Salt Lake City, UT 84124-2690 · (801) 262-3600 · Fax (801) 262-3659
Fax(801) 262-3600
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2007
Enumeration DateMarch 19, 2008
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1205007093 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 · 6766665-1206
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.

4252 S HIGHLAND DR STE 200, Salt Lake City, UT 84124

Secondary Practice Location 1

Location 11250 E 3900 S Ste 450Salt Lake City, UT 84124-1349 · Phone (801) 262-3600 · Fax (801) 262-3659

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

Mr. Mark P Pulver Pa 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 ID6709964745
PECOS Enrollment IDI20080416000497
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,570 services237 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
371 services278 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.
323 services269 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
237 services189 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
117 services99 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
72 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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.

74.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality54.1
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
87%1,067 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
78%144 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 20% · 789 patients
18%789 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 34% · 789 patients
Patients screened: 48% · 789 patients
0%113 patients
Provide Patients Electronic Access to Their Health Information
95%2,919 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Dermatology
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Physician Assistant (Surgical)
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Surgery
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Surgery
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Nurse Practitioner
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Physician Assistant
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Urology
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Physician Assistant (Surgical)
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124

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 Mark Pulver's NPI number?

The NPI number for Mark Pulver is 1205007093. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is Mark Pulver located?

Mark Pulver practices at 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124. The listed phone number is (801) 262-3600.

What is Mark Pulver's specialty?

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

Is Mark Pulver enrolled in Medicare?

Yes. Mark Pulver 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 Mark Pulver accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Mark Pulver 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 Mark Pulver was last updated on May 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.