Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mark Boyack , NP

Nurse Practitioner • Provo, UT

Active NPI 1750323986 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1055 N 500 W, Suite 222
Provo, UT 846043305

Call 8013774623 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

1055 N 500 W
Suite 222

Provo, UT 846043305

Telephone 8013774623
Fax 8013776832
Organization at the Same NPPES Address or Phone
No Roll Up Timpanogos Llc Facility NPI 1831153840

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: Revere Health Pc. 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

2001

Medicare patients

360 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 $115,442 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 $93,795 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

5,949 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

$143,917 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: $887.38 across 50 records.

By nature of payment

  • Food and Beverage: $887.38 across 50 records.

Reporting-company totals (3 largest of 14)

  • Bayer Healthcare Pharmaceuticals Inc.: $189.08 across 14 records.
  • Amgen Inc.: $137.68 across 10 records.
  • Calliditas Therapeutics US Inc.: $94.90 across 4 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

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 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

2006

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Mark Boyack 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 Mark Boyack 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 Provo 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 Nurse Practitioner in Provo, UT (2024, 49 clinicians with data). Median for this group: 251. Middle half: 111 to 636.

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Utah (2024, 455 clinicians with data). Median for this group: 212. Middle half: 85 to 499.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 49 clinicians with data). Median for this group: $21,716. Middle half: $5,834 to $34,166.

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Utah (2024, 455 clinicians with data). Median for this group: $15,923. Middle half: $6,813 to $34,573.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 49 clinicians with data). Median for this group: $16,779. Middle half: $4,429 to $25,139.

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Utah (2024, 455 clinicians with data). Median for this group: $12,010. Middle half: $4,943 to $26,478.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 44 clinicians with data). Median for this group: 315. Middle half: 105 to 1,451.

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Utah (2024, 486 clinicians with data). Median for this group: 309. Middle half: 71 to 1,356.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 44 clinicians with data). Median for this group: $26,493. Middle half: $1,889 to $178,460.

A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Utah (2024, 486 clinicians with data). Median for this group: $22,914. Middle half: $1,479 to $148,267.

98 active clinicians are listed under Nurse Practitioner with a practice address in Provo, UT (1,134 in Utah).

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

Telehealth indicator in Provo

31.6% of these 98 clinicians have the CMS telehealth indicator.

60.2% of these 98 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): 50 records totaling $887.38.

Manufacturer Payment Nature Product Type Amount ($)
Baxter Healthcare
Food and Beverage
In-kind items and services
Hillrom - Vest System Model 105 Home Care General $48.28
Amgen Inc.
Food and Beverage
In-kind items and services
KRYSTEXXA General $31.68
ANI Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
PURIFIED CORTROPHIN GEL General $31.35
Calliditas Therapeutics US Inc.
Food and Beverage
In-kind items and services
TARPEYO General $30.21
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
ULTOMIRIS General $29.72
Calliditas Therapeutics US Inc.
Food and Beverage
In-kind items and services
TARPEYO General $27.21
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $26.88
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
JYNARQUE General $26.81
United Therapeutics Corporation
Food and Beverage
In-kind items and services
Orenitram General $26.65
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $23.20
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BENLYSTA General $22.06
Travere Therapeutics, Inc.
Food and Beverage
In-kind items and services
— General $21.95
ANI Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
PURIFIED CORTROPHIN GEL General $21.64
Amgen Inc.
Food and Beverage
In-kind items and services
KRYSTEXXA General $21.62
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $21.18
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $20.75
ANI Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
PURIFIED CORTROPHIN GEL General $20.63
Calliditas Therapeutics US Inc.
Food and Beverage
In-kind items and services
TARPEYO General $20.26
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $19.88
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
JYNARQUE General $19.70
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $19.17
Travere Therapeutics, Inc.
Food and Beverage
In-kind items and services
— General $18.57
Travere Therapeutics, Inc.
Food and Beverage
In-kind items and services
— General $18.51
Travere Therapeutics, Inc.
Food and Beverage
In-kind items and services
— General $18.18
Amgen Inc.
Food and Beverage
In-kind items and services
TAVNEOS General $17.89

(top 25 shown)

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
477 244 $215.70 $103.04
36415 Insertion of needle into vein for collection of blood sample
467 216 $15.91 $8.59
80069 Kidney function blood test panel
467 220 $19.00 $8.44
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
403 282 $35.00 $13.29
81001 Manual urinalysis test with examination using microscope, automated
338 189 $16.00 $3.09
83970 Parathormone (parathyroid hormone) level
303 177 $87.00 $40.23
82570 Creatinine level to test for kidney function or muscle injury
272 169 $9.00 $5.06
82306 Vitamin d-3 level
195 124 $62.00 $29.01
84156 Total protein level, urine
189 122 $8.00 $3.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
173 116 $13.92 $7.52
82043 Urine microalbumin (protein) level
134 98 $13.00 $5.62
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
111 93 $152.59 $73.18
84550 Uric acid level, blood
89 46 $10.00 $4.39
83735 Magnesium level
81 58 $14.00 $6.57
83036 Hemoglobin a1c level
79 56 $21.00 $9.42
83540 Iron level
75 46 $14.00 $6.34
82728 Ferritin (blood protein) level
74 45 $29.00 $13.36
83550 Iron binding capacity
74 45 $19.00 $8.57
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
52 23 $569.88 $234.29
G0008 Administration of influenza virus vaccine
26 26 $19.00 $18.62
99442 Telephone medical discussion with physician, 11-20 minutes
25 22 $152.28 $69.50
90653 Influenza vaccine, inactivated
22 22 $89.00 $81.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $282.00 $135.10

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
Calcitriol Calcitriol 343 24,143 $4,864.49 102
Amlodipine Besylate Amlodipine Besylate 260 16,650 $1,699.22 64
Lisinopril Lisinopril 151 10,000 $1,219.55 45
Furosemide Furosemide 146 8,552 $658.54 46
Allopurinol Allopurinol 132 9,780 $1,465.75 39
Potassium Chloride Potassium Chloride 120 7,963 $3,786.79 34
Losartan Potassium Losartan Potassium 106 7,664 $1,213.70 40
Tamsulosin Hcl Tamsulosin Hcl 97 8,160 $1,328.63 31
Carvedilol Carvedilol 90 5,075 $605.82 26
Metoprolol Succinate Metoprolol Succinate 89 6,350 $1,515.81 24
Potassium Citrate Er Potassium Citrate 86 4,740 $3,569.77 23
Doxazosin Mesylate Doxazosin Mesylate 74 4,570 $1,042.41 17
Atorvastatin Calcium Atorvastatin Calcium 64 5,190 $757.91 18
Hydrochlorothiazide Hydrochlorothiazide 58 3,803 $358.48 18
Torsemide Torsemide 54 2,429 $568.73 15
Bumetanide Bumetanide 52 2,804 $2,142.95 13
Midodrine Hcl Midodrine Hcl 50 1,825 $1,611.62 14
Cinacalcet Hcl Cinacalcet Hcl 47 1,845 $593.40 —
Finasteride Finasteride 44 2,400 $439.64 —
Farxiga Dapagliflozin Propanediol 39 1,380 $22,111.91 —
Famotidine Famotidine 37 2,360 $661.80 —
Sevelamer Carbonate Sevelamer Carbonate 37 1,933 $9,878.67 13
Valsartan Valsartan 36 2,310 $1,115.48 14
Gabapentin Gabapentin 33 1,530 $399.29 —
Prednisone Prednisone 32 2,085 $191.46 11

(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

Self-certified to NPPES: 2020-08-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES UT 279656-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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 Palmetto Gba
500030477

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20050620000313

Enrollment State Jurisdiction

UT

PECOS Control ID

4385688431

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

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8014298000

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
Dr. William Barager , DO

Internal Medicine - Nephrology

NPI 1962444638

Doctor of Osteopathic Medicine (D.O.)

Dr. David Barlow , DO

Internal Medicine - Nephrology

NPI 1841854528

Doctor of Osteopathic Medicine (D.O.)

Molly Brotherson , PA

Physician Assistant

NPI 1578598132

Physician Assistant

Dr. Zachary Freestone , DO

Internal Medicine - Nephrology

NPI 1790070449

Doctor of Osteopathic Medicine (D.O.)

Dr. Terry Hammond , MD

Internal Medicine - Nephrology

NPI 1124064845

Doctor of Medicine (M.D.)

Dr. Ashley Radmall , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1346824950

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History

NPI enumerated June 12, 2006.

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.

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NPI Administrative Meta

NPI Number: 1750323986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: November 27, 2023
Sole Proprietor: No

Other Nurse Practitioners in Provo

All Nurse Practitioners in Provo

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

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.