ELISE M. LE CAM MD
NPI 1053993659
Internal Medicine - Gastroenterology in Salt Lake City, UT

Q: What is Elise Le Cam's NPI number?

The NPI number for Elise Le Cam is 1053993659. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Elise Le Cam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Elise Le Cam was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 22, 2021PECOS Enrolled

HELIX: 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112(801) 581-2121(801) 581-7476 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Mar 11, 2025, Jul 3, 2024 and 2 more (5 updates tracked since 2021).

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About Elise M. Le Cam Md NPPES

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

ELISE M. LE CAM MD (NPI 1053993659) is an individual gastroenterology provider in Salt Lake City, Utah, licensed in Utah (14206550-1205) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053993659

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameELISE M. LE CAMCredential: MD

Location AddressHELIX: 30 N MARIO CAPECCHI DR RM 3N100Salt Lake City, UT 84112-0001

Mailing AddressHelix: 30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112-0001 · (801) 581-2121 · Fax (801) 581-7476

Phone(801) 581-2121

Fax(801) 581-7476

Sole ProprietorNo

Enumeration DateApril 22, 2021

Last NPPES UpdateJuly 1, 20255 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1053993659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in UT · 14206550-1205

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License R78622 (AZ)

HELIX: 30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise M. Le Cam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

15 services14 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.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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.

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.

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