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CRAIG R FOLEY M.D.
NPI 1164528964
Colon & Rectal Surgery in Ogden, UT

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
1508 E SKYLINE DR STE 600, OGDEN, UT 84405(385) 205-6803(385) 205-6806 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig R Foley M.d. NPPES

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

CRAIG R FOLEY M.D. (NPI 1164528964) is an individual colon & rectal surgery provider in Ogden, Utah, licensed in Utah (273618 1205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Utah School Of Medicine (1988).

NPPES Registry Identity

NPI1164528964
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameCRAIG R FOLEYCredential: M.D.
Location Address1508 E SKYLINE DR STE 600Ogden, UT 84405-4857
Mailing Address1508 E Skyline Dr Ste 600Ogden, UT 84405-4857 · (385) 205-6803 · Fax (385) 205-6806
Phone(385) 205-6803
Fax(385) 205-6806
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1988
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1164528964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in UT · 273618 1205
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1508 E SKYLINE DR STE 600, Ogden, UT 84405
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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

Craig R Foley 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 ID8820094949
PECOS Enrollment IDI20061013000060
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 6

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.

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.
17 services17 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
12 services12 patients
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.
12 services12 patients
Stapling of internal hemorrhoid 46947
Stapling of internal hemorrhoid is a surgical procedure to treat swollen blood vessels in your lower rectum. It involves using a special device to staple and remove hemorrhoid tissue, reducing blood flow to the area, which eases symptoms.
11 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84405 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.

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 Craig Foley's NPI number?

The NPI number for Craig Foley is 1164528964. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Craig Foley located?

Craig Foley practices at 1508 E Skyline Dr Ste 600, Ogden, UT 84405. The listed phone number is (385) 205-6803.

What is Craig Foley's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Craig Foley enrolled in Medicare?

Yes. Craig Foley 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 Craig Foley accept?

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

According to CMS data, Craig Foley is affiliated with Mckay-Dee Hospital.

When was this NPI record last updated?

The NPPES record for Craig Foley was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.