Marc A Penrod, M.D.
Individual provider Active NPI Family Medicine Physician · Springville, UT
NPI 1831137140 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1831137140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4775420-1205 (UT)
- Practice address
- 55 E 400 N
Springville, UT 84663-1347 - Phone
- (801) 489-8464
- Fax
- (801) 798-8513
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Canyon View Medical Group LLC
Practice addresses (Care Compare)
55 E 400
Springville, UT 84663-1347
Phone (801) 489-8464
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
- Intermountain Health Spanish Fork Hospital
- Mountain View Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050815000606 | UT | Practitioner - Family Practice | 8820028301 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon View Medical Group LLC | Family Medicine | Current |
Accepting new patients |
| Canyon View Medical Group LLC | Family Medicine | Current |
Accepting new patients |
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| Canyon View Medical Group LLC | Family Medicine | Past | Accepting new patients |
Locations
1429 S 1600 W
Mapleton, UT 84664
Phone (801) 489-8464
325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301
55 E 400 N
Springville, UT 84663
Phone (801) 489-8464
Interoperability endpoints
- marc.penrod.p1@direct.canyonviewmed.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4775420-1205 | UT | Yes |
Addresses
Primary practice location
55 E 400 N
Springville, UT 84663-1347
Mailing address
325 W Center St
Spanish Fork, UT 84660-2060
Phone (801) 798-7301
Other practice location 1
1429 S 1600 W
Mapleton, UT 84664-4210
Phone (801) 853-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D3633 | Medicaid | UT |
Other providers in Springville, UT
- Papillon Healing Specialists
- Jessica Alyse Parker
- Pete Paulos
- Thomas Payne
- Tiffany Palmer Pedersen
- Joel Perez
- Robert Steven Petersen
- Scott Petersen
- Erin Elmont Phelps
- Physical & Sports Therapy Services, LLC
All providers in Springville, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.