NPIMap

Individual provider Active NPI

Micah Larvin Price, MD

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1972023331
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-46459 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 643-2682
Fax
(515) 643-5802
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Health Physicians West LLC 92 clinicians
Community Hospital 23 clinicians

Practice addresses (Care Compare)

2000 Campbell Dr
Torrington, WY 82240-1528
Phone (307) 532-8758

625 Albany Ave
Torrington, WY 82240-1530
Phone (307) 532-2107

Hospital & facility affiliations

  • Community Hospital Hospital, Torrington, WY, CCN 531307
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Community Hospital Nursing home, CCN 53Z307

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
68.13
Promoting interoperability
99
Improvement activities
40
Cost
69.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504002365 WY Practitioner - Family Practice 6002185964 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital CurrentSince May 17, 2021 Accepting new patients
Community Hospital Family Medicine CurrentSince May 17, 2021 Accepting new patients
Banner Health Physicians West LLC CurrentSince Sep 8, 2021 Accepting new patients
Banner Health Physicians West LLC CurrentSince Sep 8, 2021 Accepting new patients
Community Hospital Family Medicine Past Accepting new patients

Locations

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-10990 IA
Family Medicine Physician 207Q00000X MD-46459 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-2682

Other practice location 1

6601 SW 9th St
Des Moines, IA 50315-6138
Phone (515) 643-9400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2020.

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1972023331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-2682",
            "fax_number": "515-643-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-2682",
            "fax_number": "515-643-5802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503156138",
            "country_code": "US",
            "telephone_number": "515-643-9400",
            "fax_number": "515-643-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MICAH",
        "middle_name": "LARVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10990",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-46459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.