Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Randall Wells Pace, MD

Individual provider Family Medicine Physician · NPI 1932337466

Dr. Randall Wells Pace, MD is a Family Practice in Orem, Utah. Graduated from Eastern Virginia Medical School in 2009, 17 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
17
Trained at
Eastern Virginia Medical School
Licensed in
ID, UT
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

173 N 400 W Ste C11
Orem, UT 84057-1909
Phone: (801) 802-7373
Fax: (801) 802-7733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8268289-8905 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MR-1067 (ID)

Record details

NPI number1932337466
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2009
Last updated in NPPESNovember 27, 2023
Certification dateMarch 17, 2020
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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