HUGH M STONEBURNER
NPI 1003991498
Internal Medicine in Salt Lake City, UT

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
1525 W 2100 S, SALT LAKE CITY, UT 84119(801) 581-2121 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hugh M Stoneburner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUGH M STONEBURNER (NPI 1003991498) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (186959-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Virginia Commonwealth University, School Of Medicine (1988).

NPPES Registry Identity

NPI1003991498
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHUGH M STONEBURNER
Location Address1525 W 2100 SSalt Lake City, UT 84119-1401
Mailing AddressPo Box 510708Salt Lake City, UT 84151-0708 · (801) 581-2121
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1988
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1003991498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in UT · 186959-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1525 W 2100 S, Salt Lake City, UT 84119

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hugh M Stoneburner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335180165
PECOS Enrollment IDI20050520001023
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
578 services194 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
132 services132 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers25 claims60 services$5.96 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers15 claims15 services$31.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers15 claims15 services$82.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers14 claims40 services$30.72 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers14 claims84 services$1.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers24 claims24 services$15.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1525 W 2100 S
SALT LAKE CITY, UT 84119
Pharmacist
1525 W 2100 S
SALT LAKE CITY, UT 84119
Interpreter
1525 W 2100 S
SALT LAKE CITY, UT 84119
Nurse Practitioner (Family)
1525 W 2100 S
SALT LAKE CITY, UT 84119
Obstetrics & Gynecology
1525 W 2100 S
SALT LAKE CITY, UT 84119
Pharmacist
1525 W 2100 S
SALT LAKE CITY, UT 84119
Pharmacy (Community/Retail Pharmacy)
1525 W 2100 S
SALT LAKE CITY, UT 84119
General Practice
1525 W 2100 S
SALT LAKE CITY, UT 84119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hugh Stoneburner's NPI number?

The NPI number for Hugh Stoneburner is 1003991498. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Hugh Stoneburner located?

Hugh Stoneburner practices at 1525 W 2100 S, Salt Lake City, UT 84119. The listed phone number is (801) 581-2121.

What is Hugh Stoneburner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hugh Stoneburner enrolled in Medicare?

Yes. Hugh Stoneburner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hugh Stoneburner accept?

Health plans from University of Utah Health Plans list Hugh Stoneburner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hugh Stoneburner affiliated with any hospitals?

According to CMS data, Hugh Stoneburner is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Hugh Stoneburner was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.