Kyle Jeffery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

368163-1205 Issued in UT

Practice address

945 W Hospital Dr Ste 4
Price, UT 84501-4230

Phone

(435) 613-7874

Fax

(435) 637-1808

NPI assigned

Jun 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

University of California, San Francisco School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Castleview Physician Practice LLCGroup PAC ID 6305995598, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Castleview Hospital Hospital, Price, UT, CCN 460011

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhi8090@yourcarecommunity.org
• Direct secure messaging: kyle.jeffery.1@19848.direct.athenahealth.com

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.

• Castleview Physician Practice LLC

  • Pediatrics Physician
  • Price, UT
  • NPI 1013364884

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Castleview Physician Practices LLC

  • Internal Medicine Physician
  • Price, UT
  • NPI 1215360557

  Multi-Specialty

  NPD

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

• Castleview Hospital LLC

  • Rural Acute Care Hospital
  • Price, UT
  • NPI 1417064205
  Care Compare affiliation

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1912134685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD",
            "address_2": "2ND FLOOR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-239-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W HOSPITAL DR STE 4",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014230",
            "telephone_number": "435-613-7874",
            "fax_number": "435-637-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "UT",
            "license": "368163-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha H Hyde
• Internal Resolutions
• J Stewart Scoville DC PC
• Gregory M James
• Jan Thornton
• Jeffrey W. Madsen MD LLC
• Cacilia Jensen
• Elizabeth Roxanne Jensen
• Kelly D Jensen, D.O.
• Jay Jeppson, PHD

• Surgery Physician in Price, UT
• Providers in Price, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.

Verify at the official NPI Registry.