MR. WALTER MONTGOMERY WOOTTON PA-C
NPI 1891121661
Physician Assistant in Vernal, UT

Active since September 24, 2013PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Walter Montgomery Wootton Pa-c NPPES

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

MR. WALTER MONTGOMERY WOOTTON PA-C (NPI 1891121661) is an individual physician assistant in Vernal, Utah, licensed in Utah (8802245-1206) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891121661
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WALTER MONTGOMERY WOOTTONCredential: PA-C
Location Address379 N 500 WVernal, UT 84078-1956
Mailing Address210 W 300 N, # 75-3Roosevelt, UT 84066-2336 · (435) 725-7448 · Fax (435) 722-9291
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 24, 2013
Last NPPES UpdateJanuary 16, 2017
NPI 1891121661 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 · 8802245-1206
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.
379 N 500 W, Vernal, UT 84078

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

Mr. Walter Montgomery Wootton 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 ID3173759271
PECOS Enrollment IDI20131120000418
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84078 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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Other Providers at the Same Location NPPES 4

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

Physician Assistant
379 N 500 W
VERNAL, UT 84078
Family Medicine
379 N 500 W, SUITE 1A
VERNAL, UT 84078
Physician Assistant
379 N 500 W, SUITE 1A
VERNAL, UT 84078
Family Medicine
379 N 500 W, SUITE 1A
VERNAL, UT 84078

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 Walter Wootton's NPI number?

The NPI number for Walter Wootton is 1891121661. It was assigned to this individual provider in the NPPES registry on September 24, 2013.

Where is Walter Wootton located?

Walter Wootton practices at 379 N 500 W, Vernal, UT 84078. The listed phone number is (435) 789-1165.

What is Walter Wootton's specialty?

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

Is Walter Wootton enrolled in Medicare?

Yes. Walter Wootton 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 Walter Wootton accept?

Health plans from Select Health list Walter Wootton 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 Walter Wootton affiliated with any hospitals?

According to CMS data, Walter Wootton is affiliated with Uintah Basin Medical Center and Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Walter Wootton was last updated on January 16, 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.