DR. FREDERIC M CIVISH III
NPI 1124137278
Family Medicine in West Valley, UT

Q: What is Frederic Civish's NPI number?

The NPI number for Frederic Civish is 1124137278. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Frederic Civish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Frederic Civish was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

3534 S 6000 W, WEST VALLEY, UT 84128(801) 969-6264(801) 969-6333 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Frederic M Civish Iii NPPES

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

DR. FREDERIC M CIVISH III (NPI 1124137278) is an individual family medicine provider in West Valley, Utah, licensed in Utah (184916-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of University Of Utah School Of Medicine (1988).

NPPES Registry Identity

NPI1124137278

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. FREDERIC M CIVISH III

Location Address3534 S 6000 WWest Valley, UT 84128-2610

Mailing Address3354 W 7800 SWest Jordan, UT 84088-4506 · (801) 282-2677 · Fax (801) 282-4654

Phone(801) 969-6264

Fax(801) 969-6333

Sole ProprietorYes

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1988

Enumeration DateAugust 30, 2006

Last NPPES UpdateJanuary 23, 2017

✔ NPI 1124137278 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 · 184916-1205

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.

3534 S 6000 W, West Valley, UT 84128

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Other Identifiers 1

Medicare UPINE15068UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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. Frederic M Civish Iii 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 ID9032007315

PECOS Enrollment IDI20040415000335

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 16

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.

170 services131 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.

94 services78 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.

69 services17 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

67 services58 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

60 services48 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

59 services47 patients

Blood count, hemoglobin 85018

A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.

44 services43 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

44 services44 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.

41 services41 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

36 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services32 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

31 services24 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

29 services27 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

24 services20 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

17 services11 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

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.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460051

Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84128 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 3

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

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers11 claims31 services$28.34 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers13 claims74 services$1.49 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$21.72 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 6

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

SKYLER DANE HANCOCK FNP-BC

Nurse Practitioner (Family)

3534 S 6000 W
WEST VALLEY, UT 84128

Salt Lake County (801) 969-6264

HUNTER MEDICAL CENTER, INC

Family Medicine

3534 S 6000 W
WEST VALLEY, UT 84128

Salt Lake County (801) 969-6264

MICHELLE M DAHLE FNP

Nurse Practitioner (Family)

3534 S 6000 W
SALT LAKE CITY, UT 84128

Salt Lake County (801) 969-6264

MS. JANINE MARIE MCDONALD ARNP

Nurse Practitioner

3534 S 6000 W
WEST VALLEY, UT 84128

Salt Lake County (801) 969-6264

ABIGAIL JANE BERTOLA SPAINHOWER FNP

Nurse Practitioner (Family)

3534 S 6000 W
WEST VALLEY, UT 84128

Salt Lake County (801) 658-6904

DR. ANDREW DECKER DNP, FNP

Nurse Practitioner (Family)

3534 S 6000 W
WEST VALLEY CITY, UT 84128

Salt Lake County (801) 969-6264

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 Frederic Civish's NPI number?

The NPI number for Frederic Civish is 1124137278. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Frederic Civish located?

Frederic Civish practices at 3534 S 6000 W, West Valley, UT 84128. The listed phone number is (801) 969-6264.

What is Frederic Civish's specialty?

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

Is Frederic Civish enrolled in Medicare?

Yes. Frederic Civish 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 Frederic Civish accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Frederic Civish 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 Frederic Civish affiliated with any hospitals?

According to CMS data, Frederic Civish is affiliated with Intermountain Medical Center and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Frederic Civish was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.