GORDON N STAGG MD
NPI 1184636037
Family Medicine in Ogden, UT

Q: What is Gordon Stagg's NPI number?

The NPI number for Gordon Stagg is 1184636037. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Gordon Stagg'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 Gordon Stagg was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 12, 2006PECOS Enrolled

4401 HARRISON BLVD, OGDEN, UT 84403(801) 387-7615(801) 387-7667 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gordon N Stagg Md NPPES

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

GORDON N STAGG MD (NPI 1184636037) is an individual family medicine provider in Ogden, Utah, licensed in Utah (179909-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184636037

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGORDON N STAGGCredential: MD

Location Address4401 HARRISON BLVDOgden, UT 84403-3195

Mailing Address4401 Harrison BlvdOgden, UT 84403-3195 · (801) 387-7615 · Fax (801) 387-7667

Phone(801) 387-7615

Fax(801) 387-7667

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateNovember 12, 2019

✔ NPI 1184636037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 179909-1205

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 179909-1205 (UT)

4401 HARRISON BLVD, Ogden, UT 84403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon N Stagg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Gordon Stagg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc

Same address

Multi-Specialty

4401 HARRISON BLVD
Ogden, UT 84403

Reassigned Medicare billing, Utah enrollment
1,729 clinicians in this Medicare group

NPI 1811917057 (801) 387-2800

Utah Emergency Physicians

36 mi

Emergency Medicine

5121 S COTTONWOOD ST
Salt Lake City, UT 84107

Reassigned Medicare billing, Utah enrollment
182 clinicians in this Medicare group

NPI 1588048979 (877) 346-2211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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 services25 patients

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.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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.

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.

MIKHAIL SHIPOTKO MD

Hospitalist