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SKYLAR RACKHAM PA-C
NPI 1568100501
Physician Assistant in Murray, UT

Active since May 20, 2022PECOS EnrolledAccepts Medicare Assignment
5171 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-9310 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Feb 27, 2023, Oct 14, 2022 and 2 more (5 updates tracked since 2022).

About Skylar Rackham Pa-c NPPES

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

SKYLAR RACKHAM PA-C (NPI 1568100501) is an individual physician assistant in Murray, Utah, licensed in Utah (7355058-1206) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1568100501
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSKYLAR RACKHAMCredential: PA-C
Location Address5171 S COTTONWOOD STMurray, UT 84107-5704
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 507-9310
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 20, 2022
Last NPPES UpdateJune 23, 20235 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1568100501 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 · 7355058-1206
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.
5171 S COTTONWOOD ST, Murray, UT 84107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Skylar Rackham 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 ID244695377
PECOS Enrollment IDI20230425001983
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 7

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
235 services59 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.
66 services24 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
31 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
24 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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.

KRISTY BENTLEY DNP
Nurse Practitioner
5171 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-9800
DR. TODD JUSTIN ROBINSON D.O.
Surgery
5171 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-9600
JUN LIN FNP-C
Nurse Practitioner
5171 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-9310
STARLENE ROSE NP
Nurse Practitioner
5171 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-9310
LIANE C EMMETT APRN
Nurse Practitioner
5171 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-9310
ALEXIS ANN GASHLER NP
Nurse Practitioner
5171 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-4000
SARA GRACEFFO CGC
Genetic Counselor, MS
5171 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (804) 507-4000
JONATHAN JAMES GOCHNOUR DO
Emergency Medicine
5171 S COTTONWOOD ST, SUITE 740
MURRAY, UT 84107
Salt Lake County (801) 507-9700

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 Skylar Rackham's NPI number?

The NPI number for Skylar Rackham is 1568100501. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Skylar Rackham located?

Skylar Rackham practices at 5171 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-9310.

What is Skylar Rackham's specialty?

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

Is Skylar Rackham enrolled in Medicare?

Yes. Skylar Rackham 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 Skylar Rackham accept?

Health plans from Select Health list Skylar Rackham 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 Skylar Rackham affiliated with any hospitals?

According to CMS data, Skylar Rackham is affiliated with Intermountain Medical Center and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Skylar Rackham was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.