MICHAEL WILD MD
NPI 1225689748
Family Medicine in Stansbury Park, UT

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
220 MILLPOND STE 100, STANSBURY PARK, UT 84074(435) 843-3000(435) 843-3015 Get Directions Write a Review

NPPES record last updated: November 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2023, Aug 23, 2023, Mar 30, 2023 and 3 more (6 updates tracked since 2019).

About Michael Wild Md NPPES

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

MICHAEL WILD MD (NPI 1225689748) is an individual family medicine provider in Stansbury Park, Utah, licensed in Utah (7546357-1205) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225689748
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL WILDCredential: MD
Location Address220 MILLPOND STE 100Stansbury Park, UT 84074-9760
Mailing Address220 Millpond Ste 100Stansbury Park, UT 84074-9760 · (435) 843-3000 · Fax (435) 843-3015
Fax(435) 843-3015
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 25, 2019
Last NPPES UpdateNovember 23, 20236 updates tracked since enumeration
NPPES CertifiedNovember 23, 2023
NPI 1225689748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in UT · 7546357-1205 Licensed in ND · RL16538
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 ListedGeneral PracticeTaxonomy 208D00000X · License 7546357-1205 (UT)
220 MILLPOND STE 100, Stansbury Park, UT 84074

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

Michael Wild Md 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 ID4385067925
PECOS Enrollment IDI20230210000857
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.

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.
266 services163 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.
76 services70 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.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.74 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 9

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

Pharmacist
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Social Worker (Clinical)
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Pharmacist
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Social Worker (Clinical)
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Family Medicine
220 MILLPOND STE 100
STANSBURY PK, UT 84074
Pharmacist
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Pediatrics
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Family Medicine
220 MILLPOND STE 100
STANSBURY PK, UT 84074

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 Wild's NPI number?

The NPI number for Michael Wild is 1225689748. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Michael Wild located?

Michael Wild practices at 220 Millpond Ste 100, Stansbury Park, UT 84074. The listed phone number is (435) 843-3000.

What is Michael Wild's specialty?

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

Is Michael Wild enrolled in Medicare?

Yes. Michael Wild 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 Wild accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Michael Wild 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 Wild affiliated with any hospitals?

According to CMS data, Michael Wild is affiliated with University Of Utah Hospitals And Clinics and Mountain West Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Wild was last updated on November 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.