Individual provider Active NPI

Gary F Holland, MD

  • Family Medicine Physician
  • Kaysville, UT
National Provider Identifier
1780780189
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3088050-1205 Issued in UT
Practice address
375 N Main St Ste 103
Kaysville, UT 84037-1272
Phone
(801) 368-0671
NPI assigned
Sep 15, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3088050-1205 UT Primary

Addresses

Primary practice location

375 N Main St Ste 103
Kaysville, UT 84037-1272

Mailing address

375 N Main St Ste 103
Kaysville, UT 84037-1272
Phone (801) 876-3749

Other identifiers 1

IdentifierTypeStateIssuer
000069025OtherUTMEDICARE GROUP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407000936 UT Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 7618961319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Virginia Commonwealth University, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary F Holland MD PCGroup PAC ID 2668466350, 9 clinicians

Practice addresses (Care Compare)

375 N Main St
Suite 103
Kaysville, UT 84037-1272
Phone (801) 876-3749

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
6.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
21.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gary F Holland MD PC Family Medicine CurrentSince Oct 23, 2003 Accepting new patients
Palliative Care for Utah LLC CurrentSince May 2, 2017 Accepting new patients
Comfort Worx Hospice of Utah PastSince Aug 1, 2016 Accepting new patients
Care-Plus PC Past Accepting new patients
Revere Health PC Family Medicine Past Accepting new patients

Locations

11639 S 700 E
Ste 100
Draper, UT 84020
Phone (801) 576-1455

375 N Main St
Ste 103
Kaysville, UT 84037
Phone (801) 216-4130

5742 S 500 E
Ste C
Washington Terrace, UT 84405
Phone (385) 250-3314

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A Plus Healthcare at Home-HospiceLehi, UT, CCN 461545 Hospice Contracted Managing Employee Aug 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1780780189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 103",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-876-3749",
            "fax_number": "801-876-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 103",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-368-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "GARY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3088050-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000069025",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.