Active NPI
Michael P Eyre
- MOHS-Micrographic Surgery Physician
- Spanish Fork, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 537110371204
- Practice address
- 114 E 800 N
Spanish Fork, UT 84660 - Phone
- (801) 794-1490
- Fax
- (801) 794-1495
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 5371038-1204 | UT | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 537110371204 | UT | Primary |
Addresses
Primary practice location
114 E 800 N
Spanish Fork, UT 84660
Mailing address
114 E 800 N
Spanish Fork, UT 84660-1232
Phone (801) 794-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 E 800
Spanish Fork, UT 84660-1209
Phone (801) 794-1490
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.69 of 100
- Quality
- 97.37
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 44 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1412 |
| Removal of skin cancer | 307 |
| Skin biopsy | 377 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5371038-1204 | UT | MD | Dermatology Physician |
| 537110371204 | UT | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Dermatology PLLC | Dermatology | Current | Accepting new patients |
| SVC Dermatology PC | Dermatology | Past | Accepting new patients |
Locations
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000
753 S 1040 W
Payson, UT 84651
123 N 500 E
Payson, UT 84651
Phone (801) 377-0580
114 E 800 N
Spanish Fork, UT 84660
Phone (801) 794-1490
114 E 800 N
#R
Spanish Fork, UT 84660
Networks
- UT PPO
- UT PPO D-SNP
Organizations & group practices 2
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.
-
- Dermatology Physician
- Spanish Fork, UT
- NPI 1407917107
-
- Dermatology Physician
- Fenton, MI
- NPI 1174565600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1063481646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E 800 N",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846601232",
"telephone_number": "801-794-1490",
"fax_number": "801-794-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E 800 N",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "84660",
"telephone_number": "801-794-1490",
"fax_number": "801-794-1495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYRE",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "UT",
"license": "5371038-1204",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "UT",
"license": "537110371204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.