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MICHAEL L COSGRAVE M.D.
NPI 1023127214
Family Medicine in American Fork, UT

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
226 N 1100 E, SUITE A, AMERICAN FORK, UT 84003(801) 855-3844(801) 855-3854 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael L Cosgrave M.d. NPPES

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

MICHAEL L COSGRAVE M.D. (NPI 1023127214) is an individual family medicine provider in American Fork, Utah, licensed in Utah (1654381205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1972).

NPPES Registry Identity

NPI1023127214
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL L COSGRAVECredential: M.D.
Location Address226 N 1100 E, SUITE AAmerican Fork, UT 84003-2054
Mailing Address226 N 1100 E, Suite AAmerican Fork, UT 84003-2054 · (801) 855-3844 · Fax (801) 855-3854
Phone(801) 855-3844
Fax(801) 855-3854
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1972
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1023127214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 1654381205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

226 N 1100 E, American Fork, UT 84003
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Other Identifiers 3

Medicare UPINC63428UT
Medicaid06496UT
Medicare PIN000001154UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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

Michael L Cosgrave M.d. 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 ID547173973
PECOS Enrollment IDI20100603000967
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 4

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.
50 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
8 suppliers27 claims78 services$6.43 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers15 claims15 services$11.71 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers18 claims18 services$35.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$86.82 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.

DOUGLAS R MOWER M.D.
Family Medicine
226 N 1100 E, SUITE A
AMERICAN FORK, UT 84003
Utah County (801) 855-3841
SARAH ANN HILL NP
Nurse Practitioner (Primary Care)
226 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 855-3841
KENNETH JOE MURDOCK M.D.
Family Medicine
226 N 1100 E, SUITE A
AMERICAN FORK, UT 84003
Utah County (801) 855-3841
DAVID K HAFEN M.D.
Family Medicine
226 N 1100 E, SUITE A
AMERICAN FORK, UT 84003
Utah County (801) 855-3850
DR. BOLEY JACOB GREENWOOD D.D.S.
Dentist (Pediatric Dentistry)
226 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 756-6037
GREENWOOD DENTAL
Dentist (General Practice)
226 N 1100 E, SUITE D
AMERICAN FORK, UT 84003
Utah County (801) 756-6037
KALARELYN EBERTING PA-C
Physician Assistant
226 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 855-3841
DR. DALE MAX GREENWOOD D.D.S.
Dentist (General Practice)
226 N 1100 E
AMERICAN FORK, UT 84003
Utah County (801) 756-6037

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 Michael Cosgrave's NPI number?

The NPI number for Michael Cosgrave is 1023127214. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Michael Cosgrave located?

Michael Cosgrave practices at 226 N 1100 E Suite A, American Fork, UT 84003. The listed phone number is (801) 855-3844.

What is Michael Cosgrave's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Cosgrave enrolled in Medicare?

Yes. Michael Cosgrave 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 Michael Cosgrave accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Michael Cosgrave 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 Michael Cosgrave affiliated with any hospitals?

According to CMS data, Michael Cosgrave is affiliated with American Fork Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cosgrave was last updated on January 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.