Individual provider Active NPI

Michael F Pingree, M.D.

  • Ophthalmology Physician
  • West Valley City, UT
National Provider Identifier
1982716031
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5117971-1205 Issued in UT
Practice address
3465 Pioneer Pkwy Ste 5
West Valley City, UT 84120
Phone
(801) 966-0081
Fax
(801) 966-0218
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 5117971-1205 UT Primary
Specialist 174400000X 5117971-1205 UT

Addresses

Primary practice location

3465 Pioneer Pkwy Ste 5
West Valley City, UT 84120

Mailing address

3465 Pioneer Pkwy Ste 5
West Valley City, UT 84120-2081
Phone (801) 966-0081

Other identifiers 1

IdentifierTypeStateIssuer
51179711200001OtherUTBLUE CROSS BLUE SHIELD

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
I20040720001396 UT Practitioner - Ophthalmology 8628052644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael F. Pingree MD PCGroup PAC ID 8820072846, 2 clinicians

Practice addresses (Care Compare)

3465 S 4155 W
Suite 5
West Valley City, UT 84120-2081
Phone (801) 966-0081

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5117971-1205UTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael F. Pingree MD PC Multi-Specialty CurrentSince Dec 13, 2002 Accepting new patients

Locations

3465 S Pioneer Pkwy
Ste 5
West Valley City, UT 84120
Phone (801) 966-0081

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1982716031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 PIONEER PKWY STE 5",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202081",
            "telephone_number": "801-966-0081",
            "fax_number": "801-966-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 PIONEER PKWY STE 5",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84120",
            "telephone_number": "801-966-0081",
            "fax_number": "801-966-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGREE",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "5117971-1205",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "5117971-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51179711200001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.