Doctor profile · Federal record
Dr. Martha Mandujano, PA-C
Physician Assistant · Salt Lake City, UT
- NPI 1356446215
- Accepts Medicare
- MIPS 95.7 / 100 · 2023
- 21 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4745 S 3200 W
Salt Lake City, UT 841182822
(801) 964-6214
fax (801) 982-9232 - Mailing address
-
3536 S 1100 E
Salt Lake City, UT 841062451
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- November 20, 2021
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Utah #6028041-1206
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356446215. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
58
Distinct HCPCS
2
Medicare allowed
$5,221
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 42 | 31 | $79 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 16 | 16 | $119 |
In context: peer comparison
Among 98 peers in this city , average services per provider: 122. This provider delivers 0.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,238
Patients
403
Total drug cost
$168,245
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 252 | 85 | $3,978 |
| Levothyroxine Sodium | Generic | 95 | 31 | $1,931 |
| Metformin Hcl | Generic | 86 | 32 | $868 |
| Gabapentin | Generic | 85 | 23 | $1,204 |
| Losartan Potassium | Generic | 84 | 27 | $1,263 |
| Lisinopril | Generic | 80 | 24 | $718 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 79 | 27 | $1,593 |
| Amlodipine Besylate | Generic | 73 | 26 | $444 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 71 | 21 | $2,211 |
| Omeprazole | Generic | 67 | 28 | $1,223 |
Hospital affiliations
Frequently asked questions
What is Dr. Martha Mandujano's medical specialty?
Dr. Martha Mandujano practices Physician Assistant in Salt Lake City, UT.
Where does Dr. Martha Mandujano practice?
Dr. Martha Mandujano practices at 4745 S 3200 W, Salt Lake City, UT 841182822. Office phone: 8019646214.
What is Dr. Martha Mandujano's NPI?
Dr. Martha Mandujano's National Provider Identifier (NPI) is 1356446215, issued by NPPES.
Does Dr. Martha Mandujano accept Medicare assignment?
Yes. Dr. Martha Mandujano accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Martha Mandujano commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.