TERRY RUSSELL VAN WORMER PA-C
NPI 1467439505
Physician Assistant in Layton, UT

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
2121 N 1700 W, LAYTON, UT 84041(801) 773-4840(801) 525-8151 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017 (2 updates tracked since 2017).

About Terry Russell Van Wormer Pa-c NPPES

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

TERRY RUSSELL VAN WORMER PA-C (NPI 1467439505) is an individual physician assistant in Layton, Utah and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-davis, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1467439505
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTERRY RUSSELL VAN WORMERCredential: PA-C
Location Address2121 N 1700 WLayton, UT 84041-8803
Mailing AddressPo Box 337Layton, UT 84041-0337 · (801) 773-4840 · Fax (801) 525-8151
Fax(801) 525-8151
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1467439505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2121 N 1700 W, Layton, UT 84041

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

Terry Russell Van Wormer 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 ID9335219724
PECOS Enrollment IDI20080528000013
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 25

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,100 services15 patients
Injection, gadoteridol, (prohance multipack), per ml A9576
Gadoteridol, found in ProHance Multipack, is a contrast agent used in MRI scans. It's injected into your body to help highlight certain areas, making them easier to see. This can assist in diagnosing various health conditions. It's generally safe with few side effects.
699 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
619 services337 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
223 services144 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
190 services118 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
160 services126 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460041
Location1600 West Antelope DriveLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84041 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier94 claims94 services$11.46 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers43 claims10,230 services$1.34 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers12 claims1,230 services$5.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2121 N 1700 W
LAYTON, UT 84041
Specialist
2121 N 1700 W, SUITE A
LAYTON, UT 84041
Otolaryngology
2121 N 1700 W
LAYTON, UT 84041
Pharmacy (Community/Retail Pharmacy)
2121 N 1700 W
LAYTON, UT 84041
Home Health
2121 N 1700 W, SUITE A
LAYTON, UT 84041
Audiologist
2121 N 1700 W
LAYTON, UT 84041
Physician Assistant
2121 N 1700 W
LAYTON, UT 84041
Orthopaedic Surgery
2121 N 1700 W
LAYTON, UT 84041

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 Terry Van Wormer's NPI number?

The NPI number for Terry Van Wormer is 1467439505. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Terry Van Wormer located?

Terry Van Wormer practices at 2121 N 1700 W, Layton, UT 84041. The listed phone number is (801) 773-4840.

What is Terry Van Wormer's specialty?

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

Is Terry Van Wormer enrolled in Medicare?

Yes. Terry Van Wormer 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 Terry Van Wormer accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Terry Van Wormer 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 Terry Van Wormer affiliated with any hospitals?

According to CMS data, Terry Van Wormer is affiliated with Holy Cross Hospital-Davis.

When was this NPI record last updated?

The NPPES record for Terry Van Wormer was last updated on July 21, 2022. 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.