Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCCALL FAGAN PA-C
NPI 1528052289
Physician Assistant in Provo, UT

Active since September 08, 2005PECOS Enrolled
1055 N 500 W STE 111, PROVO, UT 84604(801) 374-8999(801) 429-8063 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, Aug 21, 2026 (2 updates tracked since 2026).

About Mccall Fagan Pa-c NPPES

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

MCCALL FAGAN PA-C (NPI 1528052289) is an individual physician assistant in Provo, Utah, licensed in Utah (5256821-1206) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Murray, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1528052289
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCCALL FAGANCredential: PA-C
Location Address1055 N 500 W STE 111Provo, UT 84604-3305
Mailing Address1055 N 500 WProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 429-8063
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 8, 2005
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
NPI 1528052289 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 · 5256821-1206
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.
1055 N 500 W STE 111, Provo, UT 84604

Secondary Practice Location 1

Location 15323 South Woodrow Street, Suite 200Murray, UT 84107 · Phone (801) 747-1020 · Fax (801) 747-1023

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

Mccall Fagan 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 ID9739194036
PECOS Enrollment IDI20060207001000
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 84604 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 3

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

Physician Assistant
1055 N 500 W STE 111
PROVO, UT 84604
Dermatology
1055 N 500 W STE 111
PROVO, UT 84604
Dermatology (Dermatopathology)
1055 N 500 W STE 111
PROVO, UT 84604

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 Mccall Fagan's NPI number?

The NPI number for Mccall Fagan is 1528052289. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Mccall Fagan located?

Mccall Fagan practices at 1055 N 500 W Ste 111, Provo, UT 84604. The listed phone number is (801) 374-8999.

What is Mccall Fagan's specialty?

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

Is Mccall Fagan enrolled in Medicare?

Yes. Mccall Fagan 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 Mccall Fagan accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Mccall Fagan 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 Mccall Fagan was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.