TIMOTHY L PEFAUR PA-C
NPI 1871628404
Physician Assistant in Salt Lake City, UT

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
22 S 900 E, SALT LAKE CITY, UT 84102(801) 328-2522 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy L Pefaur Pa-c NPPES

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

TIMOTHY L PEFAUR PA-C (NPI 1871628404) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (309333-1206) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1871628404
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY L PEFAURCredential: PA-C
Location Address22 S 900 ESalt Lake City, UT 84102-1307
Mailing Address22 S 900 ESlc, UT 84102-1307 · (801) 328-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1871628404 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 · 309333-1206
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.
22 S 900 E, Salt Lake City, UT 84102

Other Identifiers 1

Medicare UPINS49538

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

Timothy L Pefaur 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 ID5092601674
PECOS Enrollment IDI20040223000676
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services12 patients

Hospital Affiliations CMS Care Compare

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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 19

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

Speech-Language Pathologist
22 S 900 E
SALT LAKE CITY, UT 84102
Otolaryngology
22 S 900 E
SALT LAKE CITY, UT 84102
Physical Therapist
22 S 900 E
SALT LAKE CITY, UT 84102
Otolaryngology
22 S 900 E
SALT LAKE CITY, UT 84102
Otolaryngology (Otology & Neurotology)
22 S 900 E
SALT LAKE CITY, UT 84102
Otolaryngology
22 S 900 E
SALT LAKE CITY, UT 84102
Clinic/Center (Medical Specialty)
22 S 900 E
SALT LAKE CITY, UT 84102
Speech-Language Pathologist
22 S 900 E
SALT LAKE CITY, UT 84102

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 Timothy Pefaur's NPI number?

The NPI number for Timothy Pefaur is 1871628404. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Timothy Pefaur located?

Timothy Pefaur practices at 22 S 900 E, Salt Lake City, UT 84102. The listed phone number is (801) 328-2522.

What is Timothy Pefaur's specialty?

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

Is Timothy Pefaur enrolled in Medicare?

Yes. Timothy Pefaur 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 Timothy Pefaur accept?

Health plans from Select Health list Timothy Pefaur 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 Timothy Pefaur affiliated with any hospitals?

According to CMS data, Timothy Pefaur is affiliated with Lds Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Pefaur was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.