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JEFFREY DAVID POULSEN MD
NPI 1083855720
Anesthesiology in Provo, UT

Active since March 10, 2009PECOS EnrolledAccepts Medicare Assignment
79.72/100
CMS Quality Rating

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey David Poulsen Md NPPES

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

JEFFREY DAVID POULSEN MD (NPI 1083855720) is an individual anesthesiology provider in Provo, Utah, licensed in Oregon (MD222767) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Georgetown University School Of Medicine (2006).

NPPES Registry Identity

NPI1083855720
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJEFFREY DAVID POULSENCredential: MD
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing Address3340 N Center St # 800Lehi, UT 84043-7406 · (801) 990-1911
Phone(801) 357-7850
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2006
Enumeration DateMarch 10, 2009
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1083855720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in OR · MD222767✔ Licensed in UT · 7656910-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1034 N 500 W, Provo, UT 84604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Jeffrey David Poulsen 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 ID2365567799
PECOS Enrollment IDI20100908001130, I20250617002024
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 3

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
15 services15 patients
Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance 64488
This procedure involves injecting a local anesthetic into the abdominal wall to manage pain. It's carried out on both sides of the abdomen using imaging guidance for precision. This helps numb the area, providing relief from discomfort.
13 services13 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

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.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Jeffrey Poulsen's NPI number?

The NPI number for Jeffrey Poulsen is 1083855720. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Where is Jeffrey Poulsen located?

Jeffrey Poulsen practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7850.

What is Jeffrey Poulsen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jeffrey Poulsen enrolled in Medicare?

Yes. Jeffrey Poulsen 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 Jeffrey Poulsen accept?

Health plans from Select Health list Jeffrey Poulsen 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 Jeffrey Poulsen affiliated with any hospitals?

According to CMS data, Jeffrey Poulsen is affiliated with Mercy Medical Center and Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Poulsen was last updated on June 4, 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.