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DANIEL FONG JR. PA-C
NPI 1720450646
Physician Assistant in Salt Lake City, UT

Active since October 30, 2015PECOS Enrolled
71.77/100
CMS Quality Rating
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101(866) 849-0692 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Oct 5, 2020, Oct 16, 2019 and 2 more (5 updates tracked since 2015).

About Daniel Fong Jr. Pa-c NPPES

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

DANIEL FONG JR. PA-C (NPI 1720450646) is an individual physician assistant in Salt Lake City, Utah, licensed in Colorado (PA.0004438) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720450646
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL FONG JR.Credential: PA-C
Location Address10 W BROADWAY FL 7Salt Lake City, UT 84101-2060
Mailing Address777 Avenue HPowell, WY 82435-2260 · (307) 754-2267
Phone(866) 849-0692
Sole ProprietorNo
Enumeration DateOctober 30, 2015
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1720450646 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
Licenses✔ Licensed in CO · PA.0004438✔ Licensed in UT · 14268608-1206
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 PA.0004438 (CO)
10 W BROADWAY FL 7, Salt Lake City, UT 84101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1424 Yellowstone Ave Ste 120Cody, WY 82414-9311 · Phone (307) 578-2903
Location 2777 Avenue HPowell, WY 82435-2260 · Phone (307) 754-2267

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)

Daniel Fong Jr. Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84101 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.3
Promoting Interoperability100
Improvement Activities40
Cost28.62

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.

AMY CATHLEEN GONZALEZ RN, MSN,FNP,PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (917) 634-5311
ALEXANDRA J SANTA MARIA BCBA 12478118
Behavior Analyst
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (385) 494-3503
JIMENA TAY
Behavior Technician
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (801) 720-2996
EVERREACH ABA UTAH LLC
Behavior Analyst
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (347) 860-5351
MAIA MCDONALD
Behavior Technician
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (801) 720-2996
ARLO UTAH LLC
Behavior Analyst
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (405) 422-0304
ANGELA MAE OVIATT MA
Behavior Analyst
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (801) 720-2996
MICHELLE BYBEE CMHC
Counselor (Mental Health)
10 W BROADWAY FL 7
SALT LAKE CITY, UT 84101
Salt Lake County (323) 205-7088

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 Daniel Fong's NPI number?

The NPI number for Daniel Fong is 1720450646. It was assigned to this individual provider in the NPPES registry on October 30, 2015.

Where is Daniel Fong located?

Daniel Fong practices at 10 W Broadway Fl 7, Salt Lake City, UT 84101. The listed phone number is (866) 849-0692.

What is Daniel Fong's specialty?

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

Is Daniel Fong enrolled in Medicare?

Yes. Daniel Fong is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Fong accept?

Health plans from Blue Cross Blue Shield of Wyoming list Daniel Fong 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 Daniel Fong was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.