Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Cherokee Carrillo , PA-C

Physician Assistant โ€ข Eagle Mountain, UT

Active NPI 1588204705 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4095 E Pony Express Parkway
Eagle Mountain, UT 84005

Call 8014298037 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

4095 E Pony Express Parkway

Eagle Mountain, UT 84005

Telephone 8014298037
Fax 8017537476
Organization at the Same NPPES Address or Phone
Central Utah Clinic, P.c. Facility NPI 1023251204

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

NPPES lists 1 additional practice-address record in Salt Lake City, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

2019

Medicare patients

44 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $3,279 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,284 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 โ€“ by Provider and Service, 2024.

30-day fills

308 standardized 30-day fills in 2023

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

$2,186 in 2023

The total cost of these prescriptions in 2023, 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 โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.13 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 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

2020

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Cherokee Carrillo 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 Cherokee Carrillo 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 Eagle Mountain and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer 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.

Too few clinicians listed under Physician Assistant in Eagle Mountain have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% 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.

Too few clinicians listed under Physician Assistant in Eagle Mountain have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% 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.

Too few clinicians listed under Physician Assistant in Eagle Mountain have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Cherokee Carrillo are from 2023.

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

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

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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 ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $19.13.

Manufacturer Payment Nature Product Type Amount ($)
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
โ€” General $19.13

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“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 โ€“ by Provider and Service data, 2020โ€“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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
24 23 $153.00 $77.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $216.00 $108.84

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 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clopidogrel Clopidogrel Bisulfate 112 8,582 $2,105.90 49
Oxycodone Hcl Oxycodone Hcl 22 73 $79.95 22

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 11583503-1206

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA61242297

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

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

I20240115001602

Enrollment State Jurisdiction

UT

PECOS Control ID

3375973175

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

1380 E Medical Ctr Dr, St George, UT 847902123

Phone: 4352511000

Ihc Health Services Inc

9660 S 1300, Sandy, UT 840943762

Phone: 8015012600

Secondary Practice Locations

1160 E 3900 S Ste 4100

Salt Lake City, UT 841241246

Phone: 8012683800

Clinicians Sharing This Practice Address or Phone

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

13 listed
Kelsie Beddes , FNP

Nurse Practitioner - Family

NPI 1275250235

Family Nurse Practitioner

Dr. William Berg , MD

Family Medicine

NPI 1437594421

Doctor of Medicine (M.D.)

NPI 1689295131

Physician Assistant (Certified)

NPI 1346484581

Doctor of Medicine (M.D.)

Dr. Steven Embley , DO

Family Medicine

NPI 1760672000

Doctor of Osteopathic Medicine (D.O.)

Stacie Jones , PA-C

Physician Assistant

NPI 1992493563

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐Ÿ“
Updated Practice Location January 02, 2024

Registered at 4095 E PONY EXPRESS PARKWAY, EAGLE MOUNTAIN, UT 84005 (Tel: 8014298037)

๐Ÿ“
Updated Business Mailing Address January 02, 2024

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 846041246 (Tel: 8013548225)

๐Ÿ“
Updated Practice Location September 06, 2023

Registered at 1160 E 3900 S STE 4100, SALT LAKE CITY, UT 841241246 (Tel: 8012683800)

๐Ÿ“
Updated Business Mailing Address September 06, 2023

Registered at 1160 E 3900 S STE 4100, SALT LAKE CITY, UT 841241246 (Tel: 8012683800)

๐Ÿ“
Updated Practice Location March 07, 2023

Registered at 1100 GOETHALS DR STE E, RICHLAND, WA 993523301 (Tel: 5099423095)

๐Ÿ“
Updated Business Mailing Address March 07, 2023

Registered at 1100 GOETHALS DR, RICHLAND, WA 993523300 (Tel: 5099422479)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Physician Assistant (license number reported to NPPES: WA PA61242297)

โœ…
NPI Profile Active January 15, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 15, 2020

Registered at 8605 S SHULSEN LN, WEST JORDAN, UT 840889307 (Tel: 8018319210)

๐Ÿ“
Business Mailing Address (Initial Record) January 15, 2020

Registered at 8605 S SHULSEN LN, WEST JORDAN, UT 840889307 (Tel: 8018319210)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 15, 2020

Recorded as CHEROKEE CARRILLO, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2020

Physician Assistant (license number reported to NPPES: UT 11583503-1206)

๐ŸŸข
Initial NPI Registration & Enumeration January 15, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588204705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2020
Last Update: January 02, 2024
Sole Proprietor: Yes

Other Physician Assistants in Eagle Mountain

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 846041246

Phone: 8013548225

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.