Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

David Maurice Blackwell , PA-C

Physician Assistant • Provo, UT

Active NPI 1184867574 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1055 N 500 W Ste 207
Provo, UT 846043305

Call 8013754263 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 Ste 207

Provo, UT 846043305

Telephone 8013754263
Fax 8014298085
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

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

2008

Medicare patients

137 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 $24,092 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 $18,516 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

59 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

$349 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: $68.54 across 10 records.

By nature of payment

  • Food and Beverage: $68.54 across 10 records.

Reporting-company totals

  • Orthofix Medical, Inc.: $68.54 across 10 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

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 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

2009

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)

David Blackwell 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 David Blackwell 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 75% of clinicians listed under Physician Assistant in Provo, UT (2024, 89 clinicians with data). Median for this group: 201. Middle half: 106 to 461.

More Medicare Part B services than 80% 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 65% of clinicians listed under Physician Assistant in Provo, UT (2024, 89 clinicians with data). Median for this group: $14,353. Middle half: $8,003 to $28,021.

A higher Medicare-allowed amount than 70% 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 70% of clinicians listed under Physician Assistant in Provo, UT (2024, 89 clinicians with data). Median for this group: $10,477. Middle half: $5,335 to $20,864.

A higher Medicare payment amount than 70% 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

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Provo, UT (2024, 88 clinicians with data). Median for this group: 183. Middle half: 69 to 568.

Fewer Part D prescriptions than 75% 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 lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Provo, UT (2024, 88 clinicians with data). Median for this group: $8,987. Middle half: $1,013 to $41,617.

A lower Part D drug cost than 85% 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.

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

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

Telehealth indicator in Provo

19% of these 147 clinicians have the CMS telehealth indicator.

76.9% of these 147 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): fewer than 11 records totaling $68.54.

Manufacturer Payment Nature Product Type Amount ($)
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $17.07
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $7.54
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $7.49
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $6.94
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $6.64
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $6.40
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $5.66
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $4.54
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $3.87
Orthofix Medical, Inc.
Food and Beverage
Cash or cash equivalent
Physio-Stim General $2.39

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 · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 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, 2022–2024; 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
237 56 $3.00 $0.97
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
93 67 $152.74 $72.80
73110 X-ray of wrist, minimum of 3 views
68 31 $119.49 $31.60
20550 Injection into tendon or ligament
55 31 $123.95 $35.94
20600 Aspiration and/or injection of fluid from small joint
54 29 $127.46 $36.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 31 $215.88 $103.57
73140 X-ray of finger, minimum of 2 views
28 17 $111.71 $30.02
73130 X-ray of hand, minimum of 3 views
27 19 $108.89 $29.31
73120 X-ray of hand, 2 views
22 13 $92.73 $24.17
73080 X-ray of elbow, minimum of 3 views
18 11 $97.00 $25.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $281.67 $130.42
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass
17 14 $60.00 $23.36
29075 Application of elbow to finger cast
16 14 $179.50 $71.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $188.00 $90.21

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
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 42 146 $244.56 36
Ondansetron Hcl Ondansetron Hcl 17 116 $104.54 15

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: 2020-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 5505835-1206

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

I20090506000004

Enrollment State Jurisdiction

UT

PECOS Control ID

6507914314

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: 8013754263

Clinicians Sharing This Practice Address or Phone

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

9 listed
Douglas Bagley , PT

Physical Therapist - Hand

NPI 1538155411

Physical Therapist

Michella Byl , NP

Nurse Practitioner - Family

NPI 1689353997

Nurse Practitioner

Daniel Christensen , PA

Physician Assistant - Surgical

NPI 1184984320

Physician Assistant

Dr. Matthew Frazier , DO

Orthopaedic Surgery - Hand Surgery

NPI 1598977944

Doctor of Osteopathic Medicine (D.O.)

Dr. Curtis Johnson , MD

Orthopaedic Surgery - Hand Surgery

NPI 1205939089

Doctor of Medicine (M.D.)

Dr. Toby Johnson , MD

Orthopaedic Surgery - Hand Surgery

NPI 1144203258

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 18, 2018

Registered at 1055 N 500 W STE 207, PROVO, UT 846043305 (Tel: 8013754263)

âś…
NPI Profile Active July 02, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 02, 2015

Registered at 1055 N 500 W, SUITE 121, PROVO, UT 846043305 (Tel: 8013737350)

📍
Business Mailing Address (Initial Record) July 02, 2015

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8014298000)

👤
Provider Name / Credentials (Initial Record) July 02, 2015

Recorded as DAVID BLACKWELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2015

Physician Assistant (license number reported to NPPES: UT 5505835-1206)

🟢
Initial NPI Registration & Enumeration April 14, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184867574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2009
Last Update: November 27, 2023
Sole Proprietor: No

Other Physician Assistants in Provo

All Physician Assistants 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.