Eric Morgan Hanson, M.D.

Individual provider Active NPI Dermatology Physician · Mapleton, UT

NPI 1376526095 · NPPES record last updated Oct 16, 2025

Key facts

NPI
1376526095
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
6358587-1205 (UT)
Practice address
768 S 1600 W Ste B
Mapleton, UT 84664-4563
Phone
(801) 477-6843
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Dermatology
Education
George Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

768 S 1600
Suite B
Mapleton, UT 84664-4563
Phone (801) 477-6843

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100 (group)
Promoting interoperability
97
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI, UT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20091113000544 WI Practitioner - Dermatology
Practitioner - Other (Physician)
9739121518
I20260612001463 UT Practitioner - Dermatology
Practitioner - Other (Physician)
9739121518 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6358587-1205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Dermatology, LLC Dermatology Current
since Oct 21, 2025
Accepting new patients

Locations

768 S 1600 W
Ste B
Mapleton, UT 84664
Phone (801) 477-6843

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 6358587-1205 UT
Dermatology Physician 207N00000X 6358587-1205 UT Yes
Dermatopathology Physician 207ND0900X 4301085258 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 53576-20 WI
Dermatopathology Physician 207ND0900X 53576-20 WI
Dermatopathology (Pathology) Physician 207ZD0900X 53576-20 WI

Addresses

Primary practice location

768 S 1600 W Ste B
Mapleton, UT 84664-4563

Mailing address

768 S 1600 W Ste B
Mapleton, UT 84664-4563
Phone (801) 477-6843

Other providers in Mapleton, UT

All providers in Mapleton, UT · Dermatology Physician in Utah

Sources for this page

Verify at the official NPI Registry.