ANDREW STOVER PA
NPI 1285453423
Physician Assistant in Salt Lake City, UT

Active since October 04, 2024PECOS EnrolledAccepts Medicare Assignment
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Oct 4, 2024 (2 updates tracked since 2024).

About Andrew Stover Pa NPPES

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

ANDREW STOVER PA (NPI 1285453423) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (14189932-1206) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285453423
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW STOVERCredential: PA
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-9004
Mailing Address13808 Teal Creek DrBroomfield, CO 80023-3979 · (303) 903-8205
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 4, 2024
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1285453423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 14189932-1206
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
50 N MEDICAL DR, Salt Lake City, UT 84132

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

Andrew Stover 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 ID2264953421
PECOS Enrollment IDI20250305001105
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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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 20

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

Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132

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 Andrew Stover's NPI number?

The NPI number for Andrew Stover is 1285453423. It was assigned to this individual provider in the NPPES registry on October 4, 2024.

Where is Andrew Stover located?

Andrew Stover practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Andrew Stover's specialty?

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

Is Andrew Stover enrolled in Medicare?

Yes. Andrew Stover 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 Andrew Stover accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Andrew Stover 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 Andrew Stover affiliated with any hospitals?

According to CMS data, Andrew Stover is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Andrew Stover was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.