MR. MATTHEW MELVIN TIEMANN PA-C
NPI 1578992012
Physician Assistant in Provo, UT

Q: What is Matthew Tiemann's NPI number?

The NPI number for Matthew Tiemann is 1578992012. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Q: What is Matthew Tiemann's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Tiemann was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment

395 W COUGAR BLVD STE 803, PROVO, UT 84604(801) 235-7246 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2020, Jun 29, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

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About Mr. Matthew Melvin Tiemann Pa-c NPPES

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

MR. MATTHEW MELVIN TIEMANN PA-C (NPI 1578992012) is an individual physician assistant in Provo, Utah, licensed in Utah (57636701206) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with Heber Valley Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1578992012

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MATTHEW MELVIN TIEMANNCredential: PA-C

Location Address395 W COUGAR BLVD STE 803Provo, UT 84604-3311

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · Fax (206) 568-7043

Phone(801) 235-7246

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 5, 2013

Last NPPES UpdateOctober 25, 20244 updates tracked since enumeration

NPPES CertifiedOctober 25, 2024

✔ NPI 1578992012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 57636701206

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 57636701206 (UT)

395 W COUGAR BLVD STE 803, Provo, UT 84604

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Other Identifiers 1

Medicaid1578992012UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.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

Mr. Matthew Melvin Tiemann 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 ID2264661990

PECOS Enrollment IDI20210118000604

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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

103 services56 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.

49 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number461307

Location454 East Medical WayHeber City, UT 84032 · Wasatch County

Emergency services Birthing friendly

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 10

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

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