Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jordan Anthony Lythgoe , PA

Physician Assistant • Provo, UT

Active NPI 1245762806 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1055 N 300 W Ste 205
Provo, UT 846045044

Call 8013749100 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 300 W Ste 205

Provo, UT 846045044

Telephone 8013749100
Organization at the Same NPPES Address or Phone
Utah Vascular Center Facility NPI 1336264050

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 Orem, 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

2017

Medicare patients

193 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 $8,803 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 $6,392 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

98 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

$8,557 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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $26.25 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

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 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

2017

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)

Jordan Lythgoe 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 Jordan Lythgoe 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

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Provo, UT (2024, 89 clinicians with data). Median for this group: 201. Middle half: 106 to 461.

Fewer Medicare Part B services than 60% 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 lower 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 lower Medicare-allowed amount than 60% 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 lower Medicare payment amount than 65% 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 lower Medicare payment amount than 60% 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 75% 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

Close to the middle for 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.

Close to the middle for 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 $26.25.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
ENROUTE Transcarotid Neuroprotection System General $26.25

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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
77 75 $205.00 $73.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
54 51 $129.00 $45.10
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
11 11 $164.00 $66.63

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
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 28 41 $70.32 28
Clopidogrel Clopidogrel Bisulfate 23 1,635 $302.27 15
Xarelto Rivaroxaban 13 450 $8,184.16 —

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

License # reported to NPPES UT 10520107-1206

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

I20171012003086

Enrollment State Jurisdiction

UT

PECOS Control ID

8325313620

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

1034 N 500, Provo, UT 846043380

Phone: 8013578879

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

98 N 1100, American Fork, UT 840032947

Ihc Health Services Inc

1034 N 500, Provo, UT 846043380

Phone: 8013578310

Ihc Health Services Inc

395 W Bulldog Blvd, Provo, UT 846043323

Secondary Practice Locations

1011 S 150 W

Orem, UT 840586825

Phone: 4356713068

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. Brian Adams , MD

Surgery - Vascular Surgery

NPI 1144492943

Doctor of Medicine (M.D.)

Dr. Bradley Bowles , MD

Surgery - Vascular Surgery

NPI 1922458892

Doctor of Medicine (M.D.)

Jason Brotherson , A, PRN

Nurse Anesthetist, Certified Registered

NPI 1205905742
Brian Bushman , APRN

Nurse Practitioner - Family

NPI 1952610743

Advanced Practice Registered Nurse

Talon Kohler , PA-C

Physician Assistant

NPI 1528732062

Physician Assistant (Certified)

James Rielly

Surgery - Vascular Surgery

NPI 1386638005

Career & Practice History Timeline

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

11 Historical Events
✅
NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 1055 N 300 W STE 205, PROVO, UT 846045044 (Tel: 8013749100)

📍
Updated Business Mailing Address October 03, 2017

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as JORDAN LYTHGOE, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Physician Assistant (license number reported to NPPES: UT 10520107-1206)

✅
NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 31, 2017

Registered at 1011 S 150 W, OREM, UT 840586825 (Tel: 4356713068)

📍
Business Mailing Address (Initial Record) March 31, 2017

Registered at 1011 S 150 W, OREM, UT 840586825 (Tel: 4356713068)

👤
Provider Name / Credentials (Initial Record) March 31, 2017

Recorded as JORDAN LYTHGOE, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245762806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2017
Last Update: October 03, 2017
Sole Proprietor: No

Other Physician Assistants in Provo

All Physician Assistants in Provo

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.