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DR. RANDAL JOHN LEWIS M.D.
NPI 1215964309
Family Medicine in Murray, UT

Active since June 26, 2006PECOS Enrolled
310 E 4500 S STE 410, MURRAY, UT 84107(801) 850-2800 Get Directions Write a Review

NPPES record last updated: August 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Randal John Lewis M.d. NPPES

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

DR. RANDAL JOHN LEWIS M.D. (NPI 1215964309) is an individual family medicine provider in Murray, Utah, licensed in Utah (6901924-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Magna.

NPPES Registry Identity

NPI1215964309
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDAL JOHN LEWISCredential: M.D.
Location Address310 E 4500 S STE 410Murray, UT 84107-3993
Mailing Address1082 N 1000 WAmerican Fork, UT 84003-3897 · (801) 850-2800
Phone(801) 850-2800
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateAugust 2, 2020
NPPES CertifiedAugust 2, 2020
✔ NPI 1215964309 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 · 6901924-1205
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 ListedLegal MedicineTaxonomy 173000000X · License 89-246 (NM)
310 E 4500 S STE 410, Murray, UT 84107
Open in Google Maps ↗

Secondary Practice Location 1

Location 13665 S 8400 W, Suite 110Magna, UT 84044-4907 · Phone (801) 250-9638

Other Identifiers 3

Other4468903NM · Aetna Provider Number
MedicaidE2139NM
Other002400968NM · Cigna Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randal John Lewis M.d. 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 Reassignment

Medicare enrollment records show Randal Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
988 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Utah enrollment
  • 145 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%33 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

DR. PHILLIP LEE MD
General Practice
310 E 4500 S STE 410
MURRAY, UT 84107
Salt Lake County (801) 904-3454

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 Randal Lewis's NPI number?

The NPI number for Randal Lewis is 1215964309. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Randal Lewis located?

Randal Lewis practices at 310 E 4500 S Ste 410, Murray, UT 84107. The listed phone number is (801) 850-2800.

What is Randal Lewis's specialty?

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

Is Randal Lewis enrolled in Medicare?

Yes. Randal Lewis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randal Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randal Lewis reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randal Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randal Lewis was last updated on August 2, 2020. 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.