DR. ALMA L PARKER II M.D.
NPI 1164474037
Family Medicine in Vernal, UT

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
175 N 100 W, SUITE 205, VERNAL, UT 84078(435) 781-6300(435) 781-6301 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alma L Parker Ii M.d. NPPES

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

DR. ALMA L PARKER II M.D. (NPI 1164474037) is an individual family medicine provider in Vernal, Utah, licensed in Georgia (037640) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ogden Regional Medical Center, and is a graduate of Mercer University School Of Medicine (1992).

NPPES Registry Identity

NPI1164474037
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALMA L PARKER IICredential: M.D.
Location Address175 N 100 W, SUITE 205Vernal, UT 84078-2049
Mailing Address175 N 100 W, Suite 205Vernal, UT 84078-2049 · (435) 781-6300 · Fax (435) 781-6301
Fax(435) 781-6301
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1992
Enumeration DateMay 17, 2006
Last NPPES UpdateOctober 1, 2010
NPI 1164474037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 037640
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.
175 N 100 W, Vernal, UT 84078

Other Identifiers 3

Medicare UPINF68885GA
Medicare ID-Type Unspecified08BBTHHGA
Medicaid00569753JGA

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. Alma L Parker Ii M.d. 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 ID1456263623
PECOS Enrollment IDI20110616000611
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
124 services73 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services63 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460005
Location5475 South 500 EastOgden, UT 84405 · Weber County
Emergency services

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT
OwnershipProprietary
CMS Certification Number460017
Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County
Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT
OwnershipProprietary
CMS Certification Number460054
Location2380 North 400 EastNorth Logan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84078 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.

Medicare 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%53 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%3,155 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
29%395 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%468 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%1,114 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%1,114 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%1,114 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%1,114 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

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 suppliers18 claims36 services$5.54 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers22 claims22 services$33.65 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$85.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers17 claims35 services$32.35 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$61.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers16 claims16 services$17.25 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 15

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

Pediatrics
175 N 100 W, STE 106
VERNAL, UT 84078
Obstetrics & Gynecology
175 N 100 W, STE 103
VERNAL, UT 84078
Surgery
175 N 100 W, STE 202
VERNAL, UT 84078
Orthopaedic Surgery
175 N 100 W, SUITE 204
VERNAL, UT 84078
Obstetrics & Gynecology (Obstetrics)
175 N 100 W, SUITE 103
VERNAL, UT 84078
Orthopaedic Surgery
175 N 100 W, SUITE 204
VERNAL, UT 84078
Surgery
175 N 100 W, STE 202
VERNAL, UT 84078
Family Medicine
175 N 100 W, SUITE 205A
VERNAL, UT 84078

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 Alma Parker's NPI number?

The NPI number for Alma Parker is 1164474037. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Alma Parker located?

Alma Parker practices at 175 N 100 W Suite 205, Vernal, UT 84078. The listed phone number is (435) 781-6300.

What is Alma Parker's specialty?

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

Is Alma Parker enrolled in Medicare?

Yes. Alma Parker 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 Alma Parker accept?

Health plans from Molina Healthcare list Alma Parker 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 Alma Parker affiliated with any hospitals?

According to CMS data, Alma Parker is affiliated with Ogden Regional Medical Center, Mountain West Medical Center, Brigham City Community Hospital and Cache Valley Hospital.

When was this NPI record last updated?

The NPPES record for Alma Parker was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.