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Samuel Lee

Physician Assistant β€’ Magna, UT

Active NPI 1720802036 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3665 S 8400 W
Magna, UT 840444907

Call 8012509638 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

3665 S 8400 W

Magna, UT 840444907

Telephone 8012509638
Organization at the Same NPPES Address or Phone
Mobile Eyecare Of Utah Llc Facility NPI 1245274521

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: Exodus Healthcare Network Pllc. 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

2025

Industry payments (Open Payments)

Fewer than 11 payment records totaling $72.92 in 2025

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 2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 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

2024

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, β€œDoes 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)

Samuel Lee 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 Samuel Lee 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 Magna and Utah

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Magna

11.8% of these 17 clinicians have the CMS telehealth indicator.

47.1% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $72.92.

Manufacturer Payment Nature Product Type Amount ($)
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $72.92

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

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 14231252-1206

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

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

I20251008003414

Enrollment State Jurisdiction

UT

PECOS Control ID

7618474313

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

Exodus Healthcare Network Pllc

3665 S 8400, Magna, UT 840444907

Phone: 8012509638

Clinicians Sharing This Practice Address or Phone

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

31 listed
Jess Anderson , FNP

Nurse Practitioner - Family

NPI 1922417831

Family Nurse Practitioner

Brandon Balderston

Family Medicine

NPI 1427743541
Dr. Presten Beatty , DNP

Nurse Practitioner - Family

NPI 1164151064

Doctor of Nursing Practice

Elizabeth Borys , FNP-BC

Nurse Practitioner - Family

NPI 1548994288

Family Nurse Practitioner (Board Certified)

NPI 1598990392

Doctor of Medicine (M.D.), Master of Public Health

Peter Christiansen , PA-C

Physician Assistant - Medical

NPI 1588286579

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location July 28, 2025

Registered at 3665 S 8400 W, MAGNA, UT 840444907 (Tel: 8012509638)

πŸ“
Updated Business Mailing Address July 28, 2025

Registered at 6056 RIDGE RD, HIGHLAND, UT 840033611 (Tel: 7605324833)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2025

Physician Assistant (license number reported to NPPES: UT 14231252-1206)

βœ…
NPI Profile Active November 13, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 13, 2024

Registered at 208 UNIVERSITY DR, WEST LIBERTY, WV 260741082 (Tel: 7605324833)

πŸ“
Business Mailing Address (Initial Record) November 13, 2024

Registered at 208 UNIVERSITY DR, WEST LIBERTY, WV 260741082 (Tel: 7605324833)

πŸ‘€
Provider Name / Credentials (Initial Record) November 13, 2024

Recorded as SAMUEL LEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 13, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720802036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2024
Last Update: July 28, 2025
Sole Proprietor: Yes

Other Physician Assistants in Magna

All Physician Assistants in Magna

Mailing Address

6056 Ridge Rd

Highland, UT 840033611

Phone: 7605324833

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.