SAMANTHA BENGTZEN DERZON MD
NPI 1053060939
Family Medicine in Provo, UT
About Samantha Bengtzen Derzon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA BENGTZEN DERZON MD (NPI 1053060939) is an individual family medicine provider in Provo, Utah, licensed in Utah (135169241205) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Provo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Samantha Bengtzen Derzon 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Utah Valley Hospital
Acute Care Hospitals · Provo, UTRiverton Hospital
Acute Care Hospitals · Riverton, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
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 Samantha Derzon's NPI number?
The NPI number for Samantha Derzon is 1053060939. It was assigned to this individual provider in the NPPES registry on March 19, 2022.
Where is Samantha Derzon located?
Samantha Derzon practices at 475 W 940 N, Provo, UT 84604. The listed phone number is (801) 357-7940.
What is Samantha Derzon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Derzon enrolled in Medicare?
Yes. Samantha Derzon 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 Samantha Derzon accept?
Health plans from Select Health list Samantha Derzon 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 Samantha Derzon affiliated with any hospitals?
According to CMS data, Samantha Derzon is affiliated with Utah Valley Hospital and Riverton Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Derzon was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
