NPIMap

Individual provider Active NPI

Chad William Farley, MD

  • Neurological Surgery Physician
  • Payson, UT
National Provider Identifier
1053500314
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
8823947-1205 Issued in UT
Practice address
15 S 1000 E
Suite 225
Payson, UT 84651-5590
Phone
(801) 609-9310
Fax
(801) 465-0901
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 57013073 OH
Neurological Surgery Physician 207T00000X 4301102092 MI
Neurological Surgery Physician 207T00000X 8823947-1205 UT Primary

Addresses

Primary practice location

15 S 1000 E
Suite 225
Payson, UT 84651-5590

Mailing address

15 S 1000 E
Suite 225
Payson, UT 84651-5590
Phone (801) 609-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829000922 UT Practitioner - Neurosurgery 3072757574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Arizona College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Creek Neurosurgery, LLCGroup PAC ID 9537387790, 4 clinicians

Practice addresses (Care Compare)

15 S 1000
Suite 225
Payson, UT 84651-5593
Phone (801) 609-9310

Hospital & facility affiliations

  • Symbii Home Health South Home health agency, Murray, UT, CCN 467342
  • Mountain View Hospital Hospital, Payson, UT, CCN 460013
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052
  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019
  • Castleview Hospital Hospital, Price, UT, CCN 460011

Merit-based Incentive Payment System (MIPS)

Final score
18.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion423
Laminectomy or laminotomy (partial removal of spine bones)152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57013073OHMDNeurological Surgery Physician
8823947-1205UTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Creek Neurosurgery, LLC Neurological Surgery CurrentSince Aug 1, 2014 Accepting new patients

Locations

1248 E 90 N
Ste 203
American Fork, UT 84003
Phone (385) 498-7506

15 S 1000 E
Ste 225
Payson, UT 84651
Phone (801) 465-2511

175 N 100 W
Ste 205A
Vernal, UT 84078
Phone (435) 781-1200

Interoperability endpoints

  • Direct secure messaging: chadfarley@rcn.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1053500314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 1000 E",
            "address_2": "SUITE 225",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515590",
            "telephone_number": "801-609-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 1000 E",
            "address_2": "SUITE 225",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515590",
            "telephone_number": "801-609-9310",
            "fax_number": "801-465-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "CHAD",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "57013073",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301102092",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "8823947-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

Verify at the official NPI Registry.