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MR. JARED P SPACKMAN PA-C
NPI 1396757241
Physician Assistant in West Jordan, UT

Active since August 12, 2006PECOS Enrolled
95.7/100
CMS Quality Rating
8822 SOUTH REDWOOD ROAD, C-211, WEST JORDAN, UT 84088(801) 563-1975(801) 563-1984 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Mar 17, 2016 (2 updates tracked since 2016).

About Mr. Jared P Spackman Pa-c NPPES

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

MR. JARED P SPACKMAN PA-C (NPI 1396757241) is an individual physician assistant in West Jordan, Utah, licensed in Utah (4808078-1206) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396757241
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JARED P SPACKMANCredential: PA-C
Location Address8822 SOUTH REDWOOD ROAD, C-211West Jordan, UT 84088-8811
Mailing Address8822 South Redwood Road, C-211West Jordan, UT 84088-8811 · (801) 563-1975 · Fax (801) 563-1984
Phone(801) 563-1975
Fax(801) 563-1984
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1396757241 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 · 4808078-1206
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.
8822 SOUTH REDWOOD ROAD, West Jordan, UT 84088
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, 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 (PECOS)

Mr. Jared P Spackman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84088 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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

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 Jared Spackman's NPI number?

The NPI number for Jared Spackman is 1396757241. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Jared Spackman located?

Jared Spackman practices at 8822 South Redwood Road C-211, West Jordan, UT 84088. The listed phone number is (801) 563-1975.

What is Jared Spackman's specialty?

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

Is Jared Spackman enrolled in Medicare?

Yes. Jared Spackman is registered in the Medicare PECOS enrollment system.

What insurance does Jared Spackman accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Jared Spackman 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 Jared Spackman was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.