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MATTHEW R. GLICK MD
NPI 1053803619
Internal Medicine - Critical Care Medicine in Salt Lake City, UT

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
26 N 1900 E RM 701, SALT LAKE CITY, UT 84132(801) 581-7693 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Dec 20, 2021 (2 updates tracked since 2021).

About Matthew R. Glick Md NPPES

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

MATTHEW R. GLICK MD (NPI 1053803619) is an individual critical care medicine provider in Salt Lake City, Utah, licensed in Utah (12744862-1205) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053803619
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMATTHEW R. GLICKCredential: MD
Location Address26 N 1900 E RM 701Salt Lake City, UT 84132-0002
Mailing Address26 N 1900 E Rm 701Salt Lake City, UT 84132-0002 · (801) 581-7693
Phone(801) 581-7693
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateMay 30, 2018
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1053803619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in UT · 12744862-1205
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01085705A (IN)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 12744862-1205 (UT)
26 N 1900 E RM 701, Salt Lake City, UT 84132
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1550 University BlvdIndianapolis, IN 46202-5149 · Phone (317) 948-1310
Location 2215 W North St Apt 311RIndianapolis, IN 46202-3292 · Phone (317) 504-0165

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew R. Glick 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 ID1850656166
PECOS Enrollment IDI20240821002485
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Glick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
0.1 mi
Pediatrics
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1497473375 (Utah)
  • 1,729 clinicians in this Medicare group
NPI 1003255464 (801) 662-1000
University Of Utah Adult Services
0.1 mi
Anesthesiology
30 N 1900 E, 3C 444
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1720482599 (801) 587-6336
University Of Utah Acuity Care Services
0.1 mi
Critical Care Medicine
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 338 clinicians in this Medicare group
NPI 1407250541 (801) 581-2121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$17.25 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$85.61 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 4

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

DR. DUSTIN M. ANDERSON-BELL MD
Internal Medicine (Pulmonary Disease)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. LYNN M. SIPSEY MD, MBE
Internal Medicine (Pulmonary Disease)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. NATHAN D HATTON M.D.
Internal Medicine (Critical Care Medicine)
26 N 1900 E RM 701
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7806
AMELIA L. BOWMAN M.D.
Internal Medicine (Pulmonary Disease)
26 N 1900 E RM 701, MAXWELL
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7693

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 Matthew Glick's NPI number?

The NPI number for Matthew Glick is 1053803619. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Matthew Glick located?

Matthew Glick practices at 26 N 1900 E Rm 701, Salt Lake City, UT 84132. The listed phone number is (801) 581-7693.

What is Matthew Glick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Matthew Glick enrolled in Medicare?

Yes. Matthew Glick 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.

Which organizations bill Medicare for Matthew Glick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Glick reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Salt Lake City, UT), University Of Utah Adult Services (Salt Lake City, UT) and University Of Utah Acuity Care Services (Salt Lake City, UT). Each 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 Matthew Glick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Glick accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Matthew Glick 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 Matthew Glick affiliated with any hospitals?

According to CMS data, Matthew Glick is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Matthew Glick was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.