COREY DAHL PA-C
NPI 1376891366
Physician Assistant in Salt Lake City, UT

Active since August 22, 2012PECOS EnrolledAccepts Medicare Assignment
1250 E 3900 S STE 440, SALT LAKE CITY, UT 84124(801) 869-4100(801) 869-4119 Get Directions Write a Review

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

Record update history: Apr 26, 2026, Feb 8, 2024, Jan 28, 2023 (3 updates tracked since 2023).

About Corey Dahl Pa-c NPPES

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

COREY DAHL PA-C (NPI 1376891366) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (8554567-1206) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Lone Peak Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376891366
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOREY DAHLCredential: PA-C
Location Address1250 E 3900 S STE 440Salt Lake City, UT 84124-1349
Mailing Address926 Shepard Church DrFarmington, UT 84025-2837 · (801) 510-8140
Fax(801) 869-4119
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 22, 2012
Last NPPES UpdateApril 26, 20263 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
NPI 1376891366 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 · 8554567-1206
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.
1250 E 3900 S STE 440, Salt Lake City, UT 84124

Secondary Practice Locations 2

Location 13838 S 700 E Ste 300Salt Lake City, UT 84106-1496 · Phone (801) 261-4988
Location 24460 S Highland Dr Ste 220Millcreek, UT 84124-3550 · Phone (504) 438-4259

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

Corey Dahl 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 ID6709035041
PECOS Enrollment IDI20130724000380
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.

Restorigin, per square centimeter Q4191
Restorigin is a medical procedure that helps in the regeneration of skin tissue. It's typically used for wound healing and involves the application of skin cells to the affected area. The service is charged per square centimeter, relating to the size of the treatment area.
2,420 services17 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
187 services33 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
143 services27 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
91 services50 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
75 services28 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
71 services71 patients

Hospital Affiliations CMS Care Compare

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

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
1250 E 3900 S STE 440
SLC, UT 84124
Clinic/Center (Multi-Specialty)
1250 E 3900 S STE 440
SALT LAKE CITY, UT 84124
Nurse Practitioner
1250 E 3900 S STE 440
SALT LAKE CITY, UT 84124
Physical Therapist (Geriatrics)
1250 E 3900 S STE 440
SALT LAKE CITY, UT 84124
Podiatrist (Foot & Ankle Surgery)
1250 E 3900 S STE 440
SALT LAKE CITY, UT 84124
Nurse Practitioner
1250 E 3900 S STE 440
SALT LAKE CITY, UT 84124
Podiatrist (Foot & Ankle Surgery)
1250 E 3900 S STE 440
SALT LAKE CITY, 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 Corey Dahl's NPI number?

The NPI number for Corey Dahl is 1376891366. It was assigned to this individual provider in the NPPES registry on August 22, 2012.

Where is Corey Dahl located?

Corey Dahl practices at 1250 E 3900 S Ste 440, Salt Lake City, UT 84124. The listed phone number is (801) 869-4100.

What is Corey Dahl's specialty?

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

Is Corey Dahl enrolled in Medicare?

Yes. Corey Dahl 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 Corey Dahl accept?

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

According to CMS data, Corey Dahl is affiliated with Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Corey Dahl was last updated on April 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.