JACK EDWARD STEPHENS M.D.
NPI 1073991915
Internal Medicine in Ogden, UT

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
4401 HARRISON BLVD, OGDEN, UT 84403(801) 387-3709(801) 387-3725 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Edward Stephens M.d. NPPES

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

JACK EDWARD STEPHENS M.D. (NPI 1073991915) is an individual internal medicine provider in Ogden, Utah, licensed in Utah (10476493-1205) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Albany Medical College Of Union University (2015).

NPPES Registry Identity

NPI1073991915
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACK EDWARD STEPHENSCredential: M.D.
Location Address4401 HARRISON BLVDOgden, UT 84403
Mailing Address6140 Sharon CirOgden, UT 84403-5008 · (435) 901-2735
Fax(801) 387-3725
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2015
Enumeration DateMay 12, 2015
Last NPPES UpdateJune 21, 2018
NPI 1073991915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in UT · 10476493-1205 Licensed in UT · 10476493-8905 Licensed in AZ · R74955
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4401 HARRISON BLVD, Ogden, UT 84403

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

Jack Edward Stephens M.d. 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 ID2163782855
PECOS Enrollment IDI20190103001338
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
100 services99 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

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

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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 3

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
3 suppliers21 claims21 services$17.22 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
4 suppliers39 claims40 services$97.97 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$38.23 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 20

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

Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner
4401 HARRISON BLVD
OGDEN, UT 84403
Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacist
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacy (Institutional Pharmacy)
4401 HARRISON BLVD
OGDEN, UT 84403
Speech-Language Pathologist
4401 HARRISON BLVD
OGDEN, UT 84403
Internal Medicine (Pulmonary Disease)
4401 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner (Psychiatric/Mental Health)
4401 HARRISON BLVD
OGDEN, UT 84403

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 Jack Stephens's NPI number?

The NPI number for Jack Stephens is 1073991915. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Jack Stephens located?

Jack Stephens practices at 4401 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 387-3709.

What is Jack Stephens's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Stephens enrolled in Medicare?

Yes. Jack Stephens 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 Jack Stephens accept?

Health plans from Select Health list Jack Stephens 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 Jack Stephens affiliated with any hospitals?

According to CMS data, Jack Stephens is affiliated with Mckay-Dee Hospital and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Jack Stephens was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.