MARK CRITCHFIELD MD
NPI 1093809758
Anesthesiology in Provo, UT
About Mark Critchfield Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK CRITCHFIELD MD (NPI 1093809758) is an individual anesthesiology provider in Provo, Utah, licensed in Utah (94-276424-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and maintains a secondary practice location in Minot.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 13
Accepted 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
Mark Critchfield 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.
Medicare Billing Reassignments
7Medicare enrollment records show Mark Critchfield reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lehi, UT 84043
- Reassigned Medicare billing, Utah enrollment
- 355 clinicians in this Medicare group
Afton, WY 83110
- Reassigned Medicare billing, Wyoming enrollment
- 112 clinicians in this Medicare group
Townsend, MT 59644
- Reassigned Medicare billing, Montana enrollment
- Medicare enrollment name: St Peters Health
- 304 clinicians in this Medicare group
Rapid City, SD 57701
- Reassigned Medicare billing, South Dakota enrollment
- 20 clinicians in this Medicare group
Beach, ND 58621
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1992947956 (North Dakota)
- 401 clinicians in this Medicare group
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 82 clinicians in this Medicare group
Wenatchee, WA 98801
- Reassigned Medicare billing, Washington enrollment
- 651 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Peters Health
Acute Care Hospitals · Helena, MTTrinity Hospitals
Acute Care Hospitals · Minot, NDMercy Medical Center
Acute Care Hospitals · Roseburg, ORMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDUtah Valley Hospital
Acute Care Hospitals · Provo, UTMedicare 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.
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.
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
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 Mark Critchfield's NPI number?
The NPI number for Mark Critchfield is 1093809758. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Mark Critchfield located?
Mark Critchfield practices at 1034 North 500 West Utah Valley Regional Medical Center, Provo, UT 84604. The listed phone number is (801) 507-5248.
What is Mark Critchfield's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Mark Critchfield enrolled in Medicare?
Yes. Mark Critchfield 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 Mark Critchfield's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Critchfield reassigns Medicare benefits to 7 organizations: Mountain West Anesthesia LLC (Lehi, UT), North Lincoln County Hospital District (Afton, WY), St. Peter's Health (Townsend, MT), West River Anesthesiology Consultants PC (Rapid City, SD), St. Joseph's Hospital And Health Center (Beach, ND) and 2 more organizations, listed in the Medicare section above. 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 Mark Critchfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Critchfield accept?
Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Mark Critchfield 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 Mark Critchfield affiliated with any hospitals?
According to CMS data, Mark Critchfield is affiliated with St Peters Health, Trinity Hospitals, Mercy Medical Center, Monument Health Rapid City Hospital and Utah Valley Hospital.
When was this NPI record last updated?
The NPPES record for Mark Critchfield was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mark Critchfield, MD · NPI 1093809758
Anesthesiology physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1093809758 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 94-276424-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER, Provo, UT 84604
- **Phone:** (801) 507-5248 · **Fax:** (801) 733-5618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Mountain West Anesthesia LLC (NPI 1558391763, Lehi, UT); North Lincoln County Hospital District (NPI 1730132523, Afton, WY); St. Peter's Health (NPI 1174165682, Townsend, MT); West River Anesthesiology Consultants PC (NPI 1396775284, Rapid City, SD); St. Joseph's Hospital And Health Center (NPI 1669491262, Beach, ND); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** September 23, 2025
- **Other identifiers:** Medicaid 100501224 (NV); Other 8597445 (UT); Other 7542 (UT); and 10 more
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Source: [NPI Profile](https://npiprofile.com/npi/1093809758) · Data from the CMS NPPES public registry.