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SARAH GILLIGAN MD
NPI 1023403748
Internal Medicine - Nephrology in Salt Lake City, UT

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
50 N MEDICAL DR # A100, SALT LAKE CITY, UT 84132(801) 581-2772 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Jan 11, 2021, Jun 22, 2020 (3 updates tracked since 2020).

About Sarah Gilligan Md NPPES

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

SARAH GILLIGAN MD (NPI 1023403748) is an individual nephrology provider in Salt Lake City, Utah, licensed in Utah (10093843-1205) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Northeastern Nevada Regional Hospital, and is a graduate of Tufts University School Of Medicine (2015).

NPPES Registry Identity

NPI1023403748
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSARAH GILLIGANCredential: MD
Location Address50 N MEDICAL DR # A100Salt Lake City, UT 84132-0001
Mailing Address50 N Medical Dr # A100Salt Lake City, UT 84132-0001
Phone(801) 581-2772
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1023403748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in UT · 10093843-1205
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
50 N MEDICAL DR # A100, Salt Lake City, UT 84132
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Sarah Gilligan Md 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 ID6709165277
PECOS Enrollment IDI20200701000486
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
192 services58 patients
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.
185 services122 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.
76 services57 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
46 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services39 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
36 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

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 84132 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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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 Sarah Gilligan's NPI number?

The NPI number for Sarah Gilligan is 1023403748. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Sarah Gilligan located?

Sarah Gilligan practices at 50 N Medical Dr # A100, Salt Lake City, UT 84132. The listed phone number is (801) 581-2772.

What is Sarah Gilligan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sarah Gilligan enrolled in Medicare?

Yes. Sarah Gilligan 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 Sarah Gilligan accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Sarah Gilligan 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 Sarah Gilligan affiliated with any hospitals?

According to CMS data, Sarah Gilligan is affiliated with Northeastern Nevada Regional Hospital, Mckay-Dee Hospital and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Sarah Gilligan was last updated on November 1, 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.