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BLAKE TAYLOR D.O.
NPI 1114458262
Family Medicine in Provo, UT

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2019, Mar 21, 2017 (2 updates tracked since 2017).

About Blake Taylor D.o. NPPES

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

BLAKE TAYLOR D.O. (NPI 1114458262) is an individual family medicine provider in Provo, Utah, licensed in Utah (10939818-1204) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Bear River Valley Hospital, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1114458262
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBLAKE TAYLORCredential: D.O.
Location Address475 W 940 NProvo, UT 84604-3301
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-7926
Sole ProprietorYes
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration
✔ NPI 1114458262 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 · 10939818-1204
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.
475 W 940 N, Provo, UT 84604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Blake Taylor 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 ID6103179106
PECOS Enrollment IDI20210225003338
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
78 services68 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services23 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.
21 services17 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bear River Valley Hospital

Acute Care Hospitals · Tremonton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460039
Location905 North 1000 WestTremonton, UT 84337 · Box Elder County
Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
6 suppliers28 claims57 services$6.12 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$39.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims63 services$2.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers23 claims23 services$17.21 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier21 claims21 services$13.61 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers31 claims31 services$38.86 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.

MR. TYLER JASON FIELDSTED DO
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7926
KARLY GARDNER DO
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
TYSON DEKORSE M.D.
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7940
SAMANTHA BENGTZEN DERZON MD
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7940
EASTON E WEAVER
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
MARK CONLEY DO
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
DR. JASON ROBERT HERMAN D.O.
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
MARIANGELA SANTIAGO PARRA DO
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930

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 Blake Taylor's NPI number?

The NPI number for Blake Taylor is 1114458262. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Blake Taylor located?

Blake Taylor practices at 475 W 940 N, Provo, UT 84604. The listed phone number is (801) 357-7926.

What is Blake Taylor's specialty?

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

Is Blake Taylor enrolled in Medicare?

Yes. Blake Taylor 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 Blake Taylor accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Blake Taylor 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 Blake Taylor affiliated with any hospitals?

According to CMS data, Blake Taylor is affiliated with Bear River Valley Hospital.

When was this NPI record last updated?

The NPPES record for Blake Taylor was last updated on February 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.