BLAKE LYMAN PA-C
NPI 1497184188
Physician Assistant in Salt Lake City, UT

Active since November 04, 2013PECOS EnrolledAccepts Medicare Assignment
1160 E 3900 S STE 5000, SALT LAKE CITY, UT 84124(801) 261-7479(801) 261-7429 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Lyman Pa-c NPPES

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

BLAKE LYMAN PA-C (NPI 1497184188) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (9705935-1206) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497184188
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE LYMANCredential: PA-C
Location Address1160 E 3900 S STE 5000Salt Lake City, UT 84124-1275
Mailing AddressPo Box 100253Atlanta, GA 30384-0253
Fax(801) 261-7429
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 4, 2013
Last NPPES UpdateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
NPI 1497184188 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 · 9705935-1206
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.

1160 E 3900 S STE 5000, Salt Lake City, UT 84124

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

Blake Lyman 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 ID749560233
PECOS Enrollment IDI20231221002214
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 6

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.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
22 services22 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
18 services16 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
15 services15 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
15 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

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 20

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

Orthopaedic Surgery
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 84124
Orthopaedic Surgery
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 84124
Physician Assistant
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 84124
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 84124
Orthopaedic Surgery
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 84124
Orthopaedic Surgery
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 84124
Nurse Practitioner (Family)
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 84124
Physician Assistant
1160 E 3900 S STE 5000
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 Blake Lyman's NPI number?

The NPI number for Blake Lyman is 1497184188. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Where is Blake Lyman located?

Blake Lyman practices at 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124. The listed phone number is (801) 261-7479.

What is Blake Lyman's specialty?

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

Is Blake Lyman enrolled in Medicare?

Yes. Blake Lyman 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 Blake Lyman accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Blake Lyman 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 Blake Lyman affiliated with any hospitals?

According to CMS data, Blake Lyman is affiliated with St Mark's Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Blake Lyman was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.