Active NPI
David T Magnesen, DPM
- Podiatrist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 370449-0501
- Practice address
- 676 S Bluff St Ste 205
St George, UT 84770-3568 - Phone
- (435) 628-5690
- Fax
- (435) 628-5805
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 9910 | NV | |
| Podiatrist | 213E00000X | 370449-0501 | UT | Primary |
Addresses
Primary practice location
676 S Bluff St Ste 205
St George, UT 84770-3568
Mailing address
676 S Bluff St
Ste 205
St George, UT 84770-3568
Phone (435) 628-5690
Other practice location 1
700 Spring St
Caliente, NV 89008
Phone (435) 628-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002102792 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050901000036 | UT | Practitioner - Podiatry | 4284666090 | Reassigns benefits to 1 organization |
| I20050912001068 | NV | Practitioner - Podiatry | 4284666090 | Reassigns benefits to 3 organizations |
| I20130708000577 | TX | Practitioner - Podiatry | 4284666090 | Reassigns benefits to 1 organization |
| O20100930017214 | UT | DME Supplier - Physician - Podiatry | 9436270576 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St George, UT |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Ave H
Ely, NV 89301
1500 Ave H
Ely, NV 89301-2615
Phone (775) 289-3612
400 B Newe VW
Ely, NV 89301-3139
Phone (775) 289-2134
400 Newe View
Ely, NV 89301-3139
676 S Bluff St
St George, UT 84770-3568
700 N Spring St
Caliente, NV 89008-1010
Phone (435) 628-5690
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.38 of 100
- Quality
- 67.22
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.4 of 100
- Quality
- 27.48
- Improvement activities
- 0
- Cost
- 71.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 56 |
| Removal of nail tissue | 1527 |
| Removal or shaving of skin growth | 370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9910 | NV | MD | Podiatrist |
| 370449-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Bee Ririe Hospital | Current | Accepting new patients | |
| William Bee Ririe Retail Pharmacy | Current | Accepting new patients | |
| Scrodco PLLC | Podiatrist | Current | Accepting new patients |
| Ely Shoshone Tribe | Past | Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| Lincoln County Hospital District | Past | Accepting new patients |
Locations
1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001
6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001
1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270
676 S Bluff St
Ste 205
St George, UT 84770
Phone (435) 628-5690
Interoperability endpoints
- magnesen@sfaa-ut.direct.office.nextgen.com
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
-
- Community/Retail Pharmacy
- Ely, NV
- NPI 1831729268
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ely, NV
- NPI 1740434844
-
- Rural Health Clinic/Center
- Caliente, NV
- NPI 1598843054
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1699779066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 S BLUFF ST",
"address_2": "STE 205",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703568",
"telephone_number": "435-628-5690",
"fax_number": "435-628-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 S BLUFF ST STE 205",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703568",
"telephone_number": "435-628-5690",
"fax_number": "435-628-5805"
}
],
"practiceLocations": [
{
"address_1": "700 SPRING ST",
"address_purpose": "LOCATION",
"city": "CALIENTE",
"state": "NV",
"postal_code": "89008",
"country_code": "US",
"telephone_number": "435-628-5690",
"fax_number": "435-628-5805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGNESEN",
"first_name": "DAVID",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NV",
"license": "9910",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "370449-0501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002102792",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.