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COULSON DIRK BOGGESS PA-C
NPI 1215829775
Physician Assistant in Park City, UT

Active since July 18, 2025PECOS EnrolledAccepts Medicare Assignment
900 ROUND VALLEY DR STE 100, PARK CITY, UT 84060(435) 655-6600(435) 655-2388 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coulson Dirk Boggess Pa-c NPPES

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

COULSON DIRK BOGGESS PA-C (NPI 1215829775) is an individual physician assistant in Park City, Utah, licensed in Utah (14268687-1206) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS, is affiliated with Park City Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215829775
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameCOULSON DIRK BOGGESSCredential: PA-C
Location Address900 ROUND VALLEY DR STE 100Park City, UT 84060-7552
Mailing Address900 Round Valley Dr Ste 100Park City, UT 84060-7552 · (435) 655-6600 · Fax (435) 655-2388
Phone(435) 655-6600
Fax(435) 655-2388
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 18, 2025
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1215829775 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 · 14268687-1206
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.
900 ROUND VALLEY DR STE 100, Park City, UT 84060
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Secondary Practice Locations 2

Location 16340 S 3000 E Ste 200Cottonwood Heights, UT 84121-3552 · Phone (435) 655-6600 · Fax (435) 655-2388
Location 2380 E 1500 S Ste 103Heber City, UT 84032-3940 · Phone (435) 655-6600 · Fax (435) 655-2388

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

Coulson Dirk Boggess 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 ID8820571276
PECOS Enrollment IDI20260313000554
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.

Hospital Affiliations CMS Care Compare

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

Park City Hospital

Acute Care Hospitals · Park City, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460057
Location900 Round Valley DrivePark City, UT 84060 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84060 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.

Other Providers at the Same Location NPPES 13

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

REBECCA LOUISE GUINN PA-C
Physician Assistant
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (435) 655-6600
BRYAN THURSTON FLETCHER PA
Physician Assistant
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (435) 655-6600
NATALIE MARIE BLASKOWSKI PA-C
Physician Assistant
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (435) 656-6600
BRENDAN LEE SHEVCHIK PA-C
Physician Assistant
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (435) 655-6600
WILLIAM R. MATHIE PA
Physician Assistant (Surgical)
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (435) 655-6600
MITCHELL DAHL PA-C
Physician Assistant
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (435) 655-6607
ALEXANDER JOHN KALKE AGACNP
Nurse Practitioner (Acute Care)
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (435) 655-6600
JONATHAN CALEB PRIOR
Physician Assistant (Surgical)
900 ROUND VALLEY DR STE 100
PARK CITY, UT 84060
Summit County (801) 360-5467

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 Coulson Boggess's NPI number?

The NPI number for Coulson Boggess is 1215829775. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Coulson Boggess located?

Coulson Boggess practices at 900 Round Valley Dr Ste 100, Park City, UT 84060. The listed phone number is (435) 655-6600.

What is Coulson Boggess's specialty?

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

Is Coulson Boggess enrolled in Medicare?

Yes. Coulson Boggess 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.

Is Coulson Boggess affiliated with any hospitals?

According to CMS data, Coulson Boggess is affiliated with Park City Hospital.

When was this NPI record last updated?

The NPPES record for Coulson Boggess was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.