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DR. JAMES A WOODMANSEE III M.D.
NPI 1093703530
Family Medicine in Provo, UT

Active since October 10, 2005Opted out of Medicare · through Jul 1, 2027
2230 N UNIVERSITY PKWY, SUITE 1A, PROVO, UT 84604(801) 377-3413(801) 655-1940 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James A Woodmansee Iii M.d. NPPES

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

DR. JAMES A WOODMANSEE III M.D. (NPI 1093703530) is an individual family medicine provider in Provo, Utah, licensed in Utah (1817981205) and active in the NPI registry since October 2005. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093703530
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES A WOODMANSEE IIICredential: M.D.
Location Address2230 N UNIVERSITY PKWY, SUITE 1AProvo, UT 84604-1509
Mailing Address2230 N University Pkwy, Suite 1aProvo, UT 84604-1509 · (801) 377-3413 · Fax (801) 655-1890
Phone(801) 377-3413
Fax(801) 655-1940
Sole ProprietorNo
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 12, 2011
✔ NPI 1093703530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 1817981205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2230 N UNIVERSITY PKWY, Provo, UT 84604
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Other Identifiers 9

Medicare PIN005700701UT
OtherQM0000000779UT · Altius
Other0100642UT · United Healthcare
Medicaid1093703530UT
Other308184UT · Dmba
Medicare UPINE48281UT
Other4584585UT · Aetna
Other000057007UT · Medicare Id Pin
Other107007064102UT · Selecthealth

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James A Woodmansee Iii M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician 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.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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.

JOSHUA JAMES REDD D.C.
Naturopath
2230 N UNIVERSITY PKWY, 6B
PROVO, UT 84604
Utah County (801) 235-9944
DR. RICHARD J HOLMES M.D.
Family Medicine
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
MR. BRIAN C PLATT P.A.
Physician Assistant (Medical)
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
JASON GRAY PA-C, MPAS
Physician Assistant
2230 N UNIVERSITY PKWY, STE 9B
PROVO, UT 84604
Utah County (801) 375-3175
AARON D PAXMAN PA-C
Physician Assistant
2230 N UNIVERSITY PKWY, 9B
PROVO, UT 84604
Utah County (801) 375-3175
DR. DENNIS C HESS M.D.
Family Medicine
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
COTTONTREE FAMILY PRACTICE
Family Medicine
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
VICTORIA ANAHI CUELLO FNP
Nurse Practitioner (Family)
2230 N UNIVERSITY PKWY, STE 9B
PROVO, UT 84604
Utah County (801) 375-3175

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 James Woodmansee's NPI number?

The NPI number for James Woodmansee is 1093703530. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is James Woodmansee located?

James Woodmansee practices at 2230 N University Pkwy Suite 1A, Provo, UT 84604. The listed phone number is (801) 377-3413.

What is James Woodmansee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Woodmansee enrolled in Medicare?

No. James Woodmansee has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Woodmansee accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list James Woodmansee 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.

When was this NPI record last updated?

The NPPES record for James Woodmansee was last updated on July 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.