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MR. ALEXANDER GOUTTSOUL PA-C
NPI 1306154653
Physician Assistant in Salt Lake City, UT

Active since September 21, 2010PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
30 N 1900 E, SALT LAKE CITY, UT 84132(801) 585-1935(801) 587-5872 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Nov 2, 2021 (2 updates tracked since 2021).

About Mr. Alexander Gouttsoul Pa-c NPPES

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

MR. ALEXANDER GOUTTSOUL PA-C (NPI 1306154653) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (7776119-1206) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1306154653
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALEXANDER GOUTTSOULCredential: PA-C
Location Address30 N 1900 ESalt Lake City, UT 84132-0002
Mailing Address30 N 1900 ESalt Lake City, UT 84132-0002 · (801) 265-2212 · Fax (801) 265-0103
Phone(801) 585-1935
Fax(801) 587-5872
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 21, 2010
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1306154653 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 · 7776119-1206
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 · License 7776119-1206 (UT)
30 N 1900 E, Salt Lake City, UT 84132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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. Alexander Gouttsoul 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 ID9335335918
PECOS Enrollment IDI20101122000556
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
89 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services11 patients

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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

DR. ANNE WIERMAN ESTARES D.O.
Anesthesiology
30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (719) 314-5254
DR. JEFFREY DAVID DILLON M.D.
Anesthesiology
30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6393
QUINTON ALLRED PA-C
Physician Assistant (Medical)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7822
JEREMY ROYLE STODDART MD
Psychiatry & Neurology (Psychiatry)
30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132
Salt Lake County (801) 581-2121
DR. STEPHEN JAMES SUMMERS M.D.
Urology
30 N 1900 E, RM 3B420
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-2700
CHRISTINA MARIE DERBIDGE PHD
Psychologist (Clinical)
30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6228
ANDRIA HOLMES HOLT RN
Nurse Practitioner (Obstetrics & Gynecology)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7647
ANDY NGUYEN
Internal Medicine
30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899

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 Alexander Gouttsoul's NPI number?

The NPI number for Alexander Gouttsoul is 1306154653. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Alexander Gouttsoul located?

Alexander Gouttsoul practices at 30 N 1900 E, Salt Lake City, UT 84132. The listed phone number is (801) 585-1935.

What is Alexander Gouttsoul's specialty?

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

Is Alexander Gouttsoul enrolled in Medicare?

Yes. Alexander Gouttsoul 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 Alexander Gouttsoul accept?

Health plans from Select Health list Alexander Gouttsoul 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 Alexander Gouttsoul affiliated with any hospitals?

According to CMS data, Alexander Gouttsoul is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Alexander Gouttsoul was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.