DR. MICHAEL I MUNFORD
NPI 1164494076
Surgery in Cedar City, UT

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
17.07/100
CMS Quality Rating
1251 NORTHFIELD RD, STE 202, CEDAR CITY, UT 84721(435) 867-0300(435) 867-0331 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2017, Feb 14, 2017 (2 updates tracked since 2017).

About Dr. Michael I Munford NPPES

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

DR. MICHAEL I MUNFORD (NPI 1164494076) is an individual surgery provider in Cedar City, Utah, licensed in Utah (4880747-1205) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and is a graduate of University Of Utah School Of Medicine (1993).

NPPES Registry Identity

NPI1164494076
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL I MUNFORD
Location Address1251 NORTHFIELD RD, STE 202Cedar City, UT 84721-8623
Mailing Address1251 Northfield Rd, Suite 202Cedar City, UT 84721-8622 · (435) 867-0300 · Fax (435) 867-0331
Fax(435) 867-0331
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1993
Enumeration DateFebruary 3, 2006
Last NPPES UpdateApril 11, 20172 updates tracked since enumeration
NPI 1164494076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in UT · 4880747-1205
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1251 NORTHFIELD RD, Cedar City, UT 84721

Other Identifiers 7

Other107004053101UT · Ihc
Medicare UPING73255UT
Other687379UT · Dmba
Medicare ID-Type Unspecified000058093UT
Other48807471201001UT · Bcbs
Other63237UT · Pehp
Other870673778MUNUT · Emia

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. Michael I Munford 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 ID8527004969
PECOS Enrollment IDI20050707000267
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 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
72 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
43 services43 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
37 services37 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.
25 services21 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84721 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

17.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost56.9

Other Providers at the Same Location NPPES 2

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

Behavior Analyst
1251 NORTHFIELD RD
CEDAR CITY, UT 84721
Otolaryngology
1251 NORTHFIELD RD, SUITE 200
CEDAR CITY, UT 84721

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 Michael Munford's NPI number?

The NPI number for Michael Munford is 1164494076. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Michael Munford located?

Michael Munford practices at 1251 Northfield Rd Ste 202, Cedar City, UT 84721. The listed phone number is (435) 867-0300.

What is Michael Munford's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Munford enrolled in Medicare?

Yes. Michael Munford 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 Michael Munford accept?

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

According to CMS data, Michael Munford is affiliated with Cedar City Hospital.

When was this NPI record last updated?

The NPPES record for Michael Munford was last updated on April 11, 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.