Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Terry Russell Van Wormer , PA-C

Physician Assistant โ€ข Layton, UT

Active NPI 1467439505 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2121 N 1700 W
Layton, UT 840418803

Call 8017734840 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

2121 N 1700 W

Layton, UT 840418803

Telephone 8017734840
Fax 8015258151
Organization at the Same NPPES Address or Phone
Tanner Memorial Clinic Facility NPI 1447239355

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: Tanner Memorial Clinic. 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

394 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 $92,557 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 $69,292 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

2,556 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

$100,909 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 โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $587.26 across 18 records.

By nature of payment

  • Food and Beverage: $587.26 across 18 records.

Reporting-company totals (3 largest of 15)

  • Sumitomo Pharma America, Inc.: $104.04 across 1 record.
  • Procept Biorobotics Corporation: $55.78 across 2 records.
  • ABBVIE INC.: $52.77 across 2 records.

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

2005

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)

Terry Van Wormer 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 Terry Van Wormer 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 Layton and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Layton, UT (2024, 34 clinicians with data). Median for this group: 224. Middle half: 103 to 433.

More Medicare Part B services than 95% 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 95% of clinicians listed under Physician Assistant in Layton, UT (2024, 34 clinicians with data). Median for this group: $15,565. Middle half: $7,208 to $31,324.

A higher Medicare-allowed amount than 95% 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 95% of clinicians listed under Physician Assistant in Layton, UT (2024, 34 clinicians with data). Median for this group: $11,493. Middle half: $5,150 to $23,051.

A higher Medicare payment amount than 95% 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 85% of clinicians listed under Physician Assistant in Layton, UT (2024, 36 clinicians with data). Median for this group: 346. Middle half: 105 to 906.

More Part D prescriptions than 80% 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 75% of clinicians listed under Physician Assistant in Layton, UT (2024, 36 clinicians with data). Median for this group: $17,919. Middle half: $1,075 to $93,130.

A higher Part D drug cost than 75% 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.

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

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

Telehealth indicator in Layton

14.1% of these 64 clinicians have the CMS telehealth indicator.

67.2% of these 64 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 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 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 18 records totaling $587.26.

Manufacturer Payment Nature Product Type Amount ($)
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $104.04
Boston Scientific Corporation
Food and Beverage
In-kind items and services
LithoVue General $48.48
Innovation Technologies Inc
Food and Beverage
In-kind items and services
IRRISEPT General $44.46
Laborie Medical Technologies Corp.
Food and Beverage
Cash or cash equivalent
Optilume BPH Drug Coated Balloon Catheter General $44.22
Inspire Medical Systems, Inc.
Food and Beverage
In-kind items and services
INSPIRE General $34.30
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $33.74
Procept Biorobotics Corporation
Food and Beverage
In-kind items and services
AQUABEAM ROBOTIC SYSTEM General $33.31
ConvaTec Inc.
Food and Beverage
In-kind items and services
GENTLECATH General $30.49
UROGEN PHARMA, INC.
Food and Beverage
In-kind items and services
JELMYTO General $28.87
ConvaTec Inc.
Food and Beverage
In-kind items and services
โ€” General $28.56
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $28.21
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $24.56
Procept Biorobotics Corporation
Food and Beverage
In-kind items and services
AQUABEAM ROBOTIC SYSTEM General $22.47
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $21.67
COLOPLAST CORP
Food and Beverage
In-kind items and services
Luja Coude General $15.99
Olympus America Inc.
Food and Beverage
In-kind items and services
iTIND System General $14.81
Medtronic, Inc.
Food and Beverage
In-kind items and services
ALTAVIVA General $14.69
Olympus America Inc.
Food and Beverage
In-kind items and services
iTIND System General $14.39

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 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 2016โ€“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, 2017โ€“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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
2,100 15 $1.00 $0.13
A9576 Injection, gadoteridol, (prohance multipack), per ml
699 37 $2.75 $1.44
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
619 337 $117.66 $72.21
36415 Insertion of needle into vein for collection of blood sample
223 144 $10.00 $8.65
81002 Urinalysis, manual test
190 118 $8.00 $3.41
84153 Psa (prostate specific antigen) measurement, total
160 126 $35.00 $18.02
87088 Bacterial urine culture
135 71 $18.00 $7.93
51702 Simple insertion of temporary bladder tube
117 23 $163.00 $49.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
101 25 $32.12 $18.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
65 65 $165.00 $88.37
87077 Bacterial culture for aerobic isolates
62 34 $20.00 $7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
62 34 $20.00 $8.48
84154 Psa (prostate specific antigen) measurement, free
55 44 $47.00 $17.90
80048 Blood test, basic group of blood chemicals (calcium, total)
53 50 $20.23 $8.29
72197 Mri scan of pelvis before and after contrast
39 39 $1400.00 $273.65
74176 Ct scan of abdomen and pelvis without contrast
38 36 $500.00 $146.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
32 16 $13.00 $7.61
51798 Ultrasound measurement of bladder capacity after voiding
29 27 $39.00 $10.37
84270 Sex hormone binding globulin (protein) level
27 14 $33.00 $21.30
84403 Testosterone (hormone) level, total
27 14 $50.00 $25.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 18 $75.00 $45.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 18 $175.44 $103.49
51741 Electronic assessment of bladder emptying
14 14 $130.00 $9.40
G0103 Prostate cancer screening; prostate specific antigen test (psa)
13 13 $36.00 $18.92
74178 Ct scan of abdomen and pelvis before and after contrast
11 11 $975.00 $275.07

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 ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Alfuzosin Hcl Er Alfuzosin Hcl 418 27,072 $7,693.35 164
Tamsulosin Hcl Tamsulosin Hcl 199 13,931 $2,398.00 81
Finasteride Finasteride 126 11,110 $1,413.78 47
Myrbetriq Mirabegron 110 4,119 $62,208.88 23
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 104 1,885 $1,172.14 83
Clindamycin Hcl Clindamycin Hcl 72 2,112 $1,795.52 72
Cefdinir Cefdinir 72 1,216 $2,325.49 61
Doxycycline Monohydrate Doxycycline Monohydrate 72 1,510 $1,985.46 63
Ciprofloxacin Hcl Ciprofloxacin Hcl 49 476 $448.00 43
Levofloxacin Levofloxacin 39 358 $141.89 35
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 38 235 $258.32 36
Solifenacin Succinate Solifenacin Succinate 33 1,590 $1,197.81 13
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 21 62 $92.40 19
Methenamine Hippurate Methenamine Hippurate 19 1,459 $922.87 โ€”
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 17 306 $319.14 15
Gemtesa Vibegron 17 930 $15,461.48 โ€”
Fluconazole Fluconazole 16 139 $128.09 11
Silodosin Silodosin 15 820 $946.63 โ€”

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

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

I20080528000013

Enrollment State Jurisdiction

UT

PECOS Control ID

9335219724

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

Tanner Memorial Clinic

425 S 100, Layton, UT 840415356

Phone: 8017734840

Tanner Memorial Clinic

1750 E 3100, Layton, UT 840402406

Phone: 8017734840

Tanner Memorial Clinic

1477 N 2000, Clinton, UT 840159099

Phone: 8017734840

Tanner Memorial Clinic

2121 N 1700, Layton, UT 840418803

Phone: 8017734840

Tanner Memorial Clinic

2038 W 1900, Syracuse, UT 840759320

Phone: 8017734840

Clinicians Sharing This Practice Address or Phone

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

40 listed
NPI 1134187636

Doctor of Medicine (M.D.)

Dr. Gary Alexander , MD

Internal Medicine - Pulmonary Disease

NPI 1265418024

Doctor of Medicine (M.D.)

Dr. Khaldoun Al-Rayess , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003808122

Doctor of Medicine (M.D.)

NPI 1285216366

Doctor of Medicine (M.D.)

Dr. Marc Anderson , MD

Family Medicine

NPI 1154307197

Doctor of Medicine (M.D.)

Spencer Atkins , PA-C

Physician Assistant

NPI 1164143343

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
โœ…
NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location September 07, 2017

Registered at 2121 N 1700 W, LAYTON, UT 840418803 (Tel: 8017734840)

๐Ÿ“
Updated Business Mailing Address September 07, 2017

Registered at PO BOX 337, LAYTON, UT 840410337 (Tel: (801) 773-4840)

๐Ÿ‘ค
Provider Name / Credentials Updated September 07, 2017

Recorded as TERRY VAN WORMER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Physician Assistant

โœ…
NPI Profile Active July 19, 2012

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 19, 2012

Registered at 4102 PINION DR, U S A F ACADEMY, CO 808402502 (Tel: 7193335741)

๐Ÿ“
Business Mailing Address (Initial Record) July 19, 2012

Registered at 13935 NICHLAS CT, COLORADO SPRINGS, CO 809213310 (Tel: 7194881262)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 19, 2012

Recorded as TERRY VAN WORMER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2012

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration December 29, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467439505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2005
Last Update: July 21, 2022
Sole Proprietor: No

Other Physician Assistants in Layton

All Physician Assistants in Layton

Mailing Address

Po Box 337

Layton, UT 840410337

Phone: 8017734840

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.