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THERON A DRAPER LCSW
NPI 1679874580
Social Worker - Clinical in Panguitch, UT

Active since November 09, 2010PECOS EnrolledAccepts Medicare Assignment
3600 N 455 W, PANGUITCH, UT 84759(435) 676-2041 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theron A Draper Lcsw NPPES

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

THERON A DRAPER LCSW (NPI 1679874580) is an individual clinical provider in Panguitch, Utah, licensed in Utah (362182-3501) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1998).

NPPES Registry Identity

NPI1679874580
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHERON A DRAPERCredential: LCSW
Location Address3600 N 455 WPanguitch, UT 84759
Mailing Address3600 N 455 WPanguitch, UT 84759 · (435) 676-2041
Phone(435) 676-2041
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1998
Enumeration DateNovember 9, 2010
Last NPPES UpdateApril 1, 2011
✔ NPI 1679874580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 362182-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3600 N 455 W, Panguitch, UT 84759
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theron A Draper Lcsw 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 ID2668774381
PECOS Enrollment IDI20160112001160
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.

Medicare Billing Reassignment

Medicare enrollment records show Theron Draper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wayne Community Health Centers Inc.
0.6 mi
Federally Qualified Health Center (FQHC)
601 EAST CENTER STREET
Panguitch, UT 84759
  • Reassigned Medicare billing, Utah enrollment
  • 22 clinicians in this Medicare group
NPI 1891142071 (435) 826-4374

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84759 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
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 Theron Draper's NPI number?

The NPI number for Theron Draper is 1679874580. It was assigned to this individual provider in the NPPES registry on November 9, 2010.

Where is Theron Draper located?

Theron Draper practices at 3600 N 455 W, Panguitch, UT 84759. The listed phone number is (435) 676-2041.

What is Theron Draper's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Theron Draper enrolled in Medicare?

Yes. Theron Draper 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.

Which organization bills Medicare for Theron Draper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theron Draper reassigns Medicare benefits to Wayne Community Health Centers Inc. (Panguitch, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theron Draper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theron Draper accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Theron Draper 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 Theron Draper was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.