VALLEY FAMILY MEDICINE PC
NPI 1033412481
Family Medicine in Tooele, UT
About Valley Family Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY FAMILY MEDICINE PC (NPI 1033412481) is a healthcare organization registered as a family medicine in Tooele, Utah and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Carolyn Forbes, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valley Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Valley Family Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D0942830
Valley Family Medicine-Carolyn Forbes MD · Tooele, UTFrequently 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 Valley Family Medicine PC's NPI number?
The NPI number for Valley Family Medicine PC is 1033412481. It was assigned to this organization in the NPPES registry on December 7, 2010.
Where is Valley Family Medicine PC located?
Valley Family Medicine PC is located at 2376 N 400 E Ste 102, Tooele, UT 84074. The listed phone number is (435) 843-1225.
What is Valley Family Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Valley Family Medicine PC enrolled in Medicare?
Yes. Valley Family Medicine PC is registered in the Medicare PECOS enrollment system.
When is Valley Family Medicine PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Valley Family Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Valley Family Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Valley Family Medicine PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0942830) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Valley Family Medicine PC accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Valley Family Medicine PC 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.
When was this NPI record last updated?
The NPPES record for Valley Family Medicine PC was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Valley Family Medicine Pc · NPI 1033412481
Family Medicine organization in Tooele, Utah. Organization record, active in the CMS NPPES registry since December 7, 2010.
## Identity
- **NPI:** 1033412481 (Entity type: Organization)
- **Enumerated:** December 7, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Carolyn Forbes, OWNER
## Practice location
- **Address:** 2376 N 400 E STE 102, Tooele, UT 84074-3413
- **Phone:** (435) 843-1225 · **Fax:** (435) 843-1228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Utah, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2011
- **Other identifiers:** Medicare PIN 000011923 (UT); Medicaid 308723752008 (UT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033412481) · Data from the CMS NPPES public registry.