DR. WILLIAM FAY ESPLIN D.O.
NPI 1093923393
Family Medicine in St George, UT

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
736 S 900 E, SUITE 203, ST GEORGE, UT 84790(435) 673-6131(435) 673-8557 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2025, Feb 6, 2020, Oct 25, 2018 (3 updates tracked since 2018).

About Dr. William Fay Esplin D.o. NPPES

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

DR. WILLIAM FAY ESPLIN D.O. (NPI 1093923393) is an individual family medicine provider in St George, Utah, licensed in Utah (8569666-1204) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1093923393
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM FAY ESPLINCredential: D.O.
Location Address736 S 900 E, SUITE 203St George, UT 84790-7000
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(435) 673-8557
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1093923393 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 · 8569666-1204
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.
736 S 900 E, St George, UT 84790

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

Dr. William Fay Esplin D.o. 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 ID2567527633
PECOS Enrollment IDI20130617000114
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 36

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.
515 services298 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
332 services235 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.
294 services239 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
240 services212 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
236 services236 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
225 services203 patients

Hospital Affiliations CMS Care Compare

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

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers30 claims73 services$4.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims15 services$1.13 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
3 suppliers32 claims32 services$86.12 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims27 services$34.74 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$185.10 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 12

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

Dentist (General Practice)
736 S 900 E, 105
ST GEORGE, UT 84790
Internal Medicine
736 S 900 E, SUITE 104
ST GEORGE, UT 84790
Podiatrist
736 S 900 E, STE 101
ST GEORGE, UT 84790
Family Medicine
736 S 900 E, SUITE 203
ST GEORGE, UT 84790
Otolaryngology
736 S 900 E, STE 201
SAINT GEORGE, UT 84790
Internal Medicine (Cardiovascular Disease)
736 S 900 E, SUITE 107
SAINT GEORGE, UT 84790
Clinic/Center (Ambulatory Surgical)
736 S 900 E, STE 201
SAINT GEORGE, UT 84790
Psychiatry & Neurology (Neurology)
736 S 900 E, 202
SAINT GEORGE, UT 84790

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 William Esplin's NPI number?

The NPI number for William Esplin is 1093923393. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is William Esplin located?

William Esplin practices at 736 S 900 E Suite 203, St George, UT 84790. The listed phone number is (435) 673-6131.

What is William Esplin's specialty?

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

Is William Esplin enrolled in Medicare?

Yes. William Esplin 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 William Esplin accept?

Health plans from Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and Regence BlueCross BlueShield of Utah and 2 other insurers list William Esplin 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 William Esplin affiliated with any hospitals?

According to CMS data, William Esplin is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for William Esplin was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.