Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

G Richard Ellis , PA-C

Physician Assistant • Bountiful, UT

Active NPI 1184840597 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

520 Medical Dr, Suite #310
Bountiful, UT 840104968

Call 8013973000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

520 Medical Dr
Suite #310

Bountiful, UT 840104968

Telephone 8013973000
Fax 8013970455
Organization at the Same NPPES Address or Phone
Bryan Bartholomew Do Pc Facility NPI 1023189362

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ihc Health Services Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1999

Medicare patients

404 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $57,856 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $40,760 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

6,236 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,194,048 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,436.08 across 12 records.

By nature of payment

  • Travel and Lodging: $770.02 across 2 records.
  • Food and Beverage: $666.06 across 10 records.

Reporting-company totals (3 largest of 4)

  • Boston Scientific Corporation: $1,257.92 across 8 records.
  • Medtronic, Inc.: $94.17 across 2 records.
  • BIOTRONIK INC.: $67.88 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

27 years (graduated 1999)

CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

G Ellis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists G Ellis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bountiful and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Bountiful, UT (2024, 21 clinicians with data). Median for this group: 194. Middle half: 134 to 350.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Utah (2024, 970 clinicians with data). Median for this group: 204. Middle half: 86 to 427.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Bountiful, UT (2024, 21 clinicians with data). Median for this group: $14,793. Middle half: $6,517 to $23,375.

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Utah (2024, 970 clinicians with data). Median for this group: $13,612. Middle half: $6,043 to $25,444.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Bountiful, UT (2024, 21 clinicians with data). Median for this group: $10,382. Middle half: $5,069 to $19,135.

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Utah (2024, 970 clinicians with data). Median for this group: $9,927. Middle half: $4,164 to $19,283.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Bountiful, UT (2024, 20 clinicians with data). Median for this group: 281. Middle half: 139 to 943.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: 258. Middle half: 71 to 842.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Bountiful, UT (2024, 20 clinicians with data). Median for this group: $4,522. Middle half: $980 to $39,383.

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: $7,285. Middle half: $798 to $79,157.

33 active clinicians are listed under Physician Assistant with a practice address in Bountiful, UT (1,887 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bountiful

0% of these 33 clinicians have the CMS telehealth indicator.

72.7% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 12 records totaling $1,436.08.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
WATCHMAN Access System General $509.20
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
WATCHMAN Access System General $260.82
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN Access System General $196.05
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN FLX General $112.59
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN FLX General $90.09
Medtronic, Inc.
Food and Beverage
In-kind items and services
MICRA General $76.05
BIOTRONIK INC.
Food and Beverage
In-kind items and services
BIOMONITOR General $67.88
Boston Scientific Corporation
Food and Beverage
In-kind items and services
FARAPULSE General $54.45
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN Access System General $32.30
Medtronic, Inc.
Food and Beverage
In-kind items and services
MICRA General $18.12
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $16.11
Boston Scientific Corporation
Food and Beverage
In-kind items and services
myLUX Patient Kit with mobile device General $2.42

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
534 387 $289.00 $102.93
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
342 270 $20.00 $5.36
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
15 15 $205.00 $70.53

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Eliquis Apixaban 599 37,152 $718,334.40 162
Metoprolol Succinate Metoprolol Succinate 456 36,593 $6,672.78 147
Flecainide Acetate Flecainide Acetate 285 22,257 $11,786.23 88
Xarelto Rivaroxaban 277 19,610 $359,540.49 75
Amiodarone Hcl Amiodarone Hcl 195 14,595 $2,696.58 65
Diltiazem 24hr Er (Cd) Diltiazem Hcl 156 12,599 $4,216.11 62
Carvedilol Carvedilol 72 6,080 $937.79 29
Multaq Dronedarone Hcl 57 2,430 $64,257.03 12
Amlodipine Besylate Amlodipine Besylate 52 4,140 $393.03 22
Sotalol Sotalol Hcl 41 3,040 $888.56 12
Losartan Potassium Losartan Potassium 39 3,340 $211.16 16
Diltiazem 24hr Er Diltiazem Hcl 33 2,270 $806.80 —
Metoprolol Tartrate Metoprolol Tartrate 32 2,820 $291.20 —
Propafenone Hcl Er Propafenone Hcl 30 2,220 $9,164.53 —
Dilt-Xr Diltiazem Hcl 29 1,846 $1,217.30 —
Dofetilide Dofetilide 29 2,010 $6,233.73 —
Potassium Chloride Potassium Chloride 28 1,474 $227.27 12
Valsartan Valsartan 23 1,104 $254.86 —
Lisinopril Lisinopril 22 1,666 $151.20 —
Atenolol Atenolol 19 1,730 $141.74 —
Diltiazem 24hr Er (Xr) Diltiazem Hcl 17 1,530 $974.12 —
Furosemide Furosemide 15 724 $45.48 —
Fludrocortisone Acetate Fludrocortisone Acetate 15 960 $419.29 —
Diltiazem Hcl Diltiazem Hcl 15 1,060 $257.63 —
Pyridostigmine Bromide Pyridostigmine Bromide 15 930 $435.04 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 265444-1206

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Group Npi
1477643179 (UT)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20050412000841

Enrollment State Jurisdiction

UT

PECOS Control ID

7517904477

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

1300 N 500 E, Logan, UT 843412462

Phone: 4357558200

Ihc Health Services Inc

1300 N 500, Logan, UT 843412462

Phone: 8015073513

Ihc Health Services Inc

4403 Harrison Blvd, Ogden, UT 844033282

Phone: 8013873850

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1053412494

Doctor of Medicine (M.D.)

Dr. Mark Flammer , MD

Emergency Medicine

NPI 1730158957

Doctor of Medicine (M.D.)

Dr. Val Hansen , MD

Internal Medicine

NPI 1235224296

Doctor of Medicine (M.D.)

Mardiene Jeffs , PA-C

Physician Assistant

NPI 1770635195

Physician Assistant (Certified)

Dr. Jennifer Ross , DO

Emergency Medicine - Undersea and Hyperbaric Medicine

NPI 1982666574

Doctor of Osteopathic Medicine (D.O.)

Sandra Waite , CFNP

Nurse Practitioner - Family

NPI 1699827014

Career & Practice History

NPI enumerated April 17, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1184840597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: April 04, 2016
Sole Proprietor: No

Other Physician Assistants in Bountiful

All Physician Assistants in Bountiful

Mailing Address

520 Medical Dr, Suite #310

Bountiful, UT 840104968

Phone: 8013973000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.