CAROL A LEATHERMAN PA
NPI 1700834686
Physician Assistant in Park City, UT

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
750 ROUND VALLEY DR, SUITE 200, PARK CITY, UT 84060(435) 658-7246 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol A Leatherman Pa NPPES

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

CAROL A LEATHERMAN PA (NPI 1700834686) is an individual physician assistant in Park City, Utah, licensed in Utah (9454093-1206) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Park City Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1700834686
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROL A LEATHERMANCredential: PA
Location Address750 ROUND VALLEY DR, SUITE 200Park City, UT 84060-7548
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 658-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 29, 2017
NPI 1700834686 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 · 9454093-1206
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA920 (KY)
750 ROUND VALLEY DR, Park City, UT 84060

Other Identifiers 2

Medicare UPINQ54591
Medicare ID-Type Unspecified0972605

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

Carol A Leatherman Pa 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 ID6002833159
PECOS Enrollment IDI20151019001044
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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
203 services157 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.
149 services122 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.
80 services69 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.
73 services58 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services22 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Park City Hospital

Acute Care Hospitals · Park City, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460057
Location900 Round Valley DrivePark City, UT 84060 · Summit County
Emergency services Birthing friendly

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 84060 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims2,370 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers36 claims4,260 services$1.42 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers43 claims5,760 services$5.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Family Medicine
750 ROUND VALLEY DR
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Pain Medicine (Pain Medicine)
750 ROUND VALLEY DR, STE 101
PARK CITY, UT 84060
Urology
750 ROUND VALLEY DR, STE 101
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Physician Assistant
750 ROUND VALLEY DR
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Social Worker (Clinical)
750 ROUND VALLEY DR
PARK CITY, UT 84060

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 Carol Leatherman's NPI number?

The NPI number for Carol Leatherman is 1700834686. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Carol Leatherman located?

Carol Leatherman practices at 750 Round Valley Dr Suite 200, Park City, UT 84060. The listed phone number is (435) 658-7246.

What is Carol Leatherman's specialty?

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

Is Carol Leatherman enrolled in Medicare?

Yes. Carol Leatherman 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 Carol Leatherman accept?

Health plans from Select Health and University of Utah Health Plans list Carol Leatherman 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 Carol Leatherman affiliated with any hospitals?

According to CMS data, Carol Leatherman is affiliated with Park City Hospital and Heber Valley Hospital.

When was this NPI record last updated?

The NPPES record for Carol Leatherman was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.