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ALAN MICHAEL BARTLOME PA-C
NPI 1679272801
Physician Assistant in Herriman, UT

Active since February 27, 2023PECOS Enrolled
13348 S SHAUNNA LN, HERRIMAN, UT 84096(801) 560-6881 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Feb 27, 2023 (2 updates tracked since 2023).

About Alan Michael Bartlome Pa-c NPPES

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

ALAN MICHAEL BARTLOME PA-C (NPI 1679272801) is an individual physician assistant in Herriman, Utah, licensed in Utah (376781-1206) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with South Lincoln Medical Center - Cah, and is a graduate of University Of Utah School Of Medicine (2025).

NPPES Registry Identity

NPI1679272801
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALAN MICHAEL BARTLOMECredential: PA-C
Location Address13348 S SHAUNNA LNHerriman, UT 84096-4706
Mailing Address13348 S Shaunna LnHerriman, UT 84096-4706 · (801) 560-6881
Phone(801) 560-6881
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2025
Enumeration DateFebruary 27, 2023
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1679272801 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 · 376781-1206
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.
13348 S SHAUNNA LN, Herriman, UT 84096
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan Michael Bartlome Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628046786
PECOS Enrollment IDI20251014000429
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.

Hospital Affiliations CMS Care Compare

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

South Lincoln Medical Center - Cah

Critical Access Hospitals · Kemmerer, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531315
Location711 Onyx StreetKemmerer, WY 83101 · Lincoln County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84096 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.

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 Alan Bartlome's NPI number?

The NPI number for Alan Bartlome is 1679272801. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Alan Bartlome located?

Alan Bartlome practices at 13348 S Shaunna Ln, Herriman, UT 84096. The listed phone number is (801) 560-6881.

What is Alan Bartlome's specialty?

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

Is Alan Bartlome enrolled in Medicare?

Yes. Alan Bartlome is registered in the Medicare PECOS enrollment system.

What insurance does Alan Bartlome accept?

Health plans from Blue Cross Blue Shield of Wyoming list Alan Bartlome 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 Alan Bartlome affiliated with any hospitals?

According to CMS data, Alan Bartlome is affiliated with South Lincoln Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Alan Bartlome was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.