MOUNTAIN TOP MEDICAL, PLLC
NPI 1235783994
Family Medicine in Brigham City, UT

Q: What is Mountain Top Medical, PLLC's NPI number?

The NPI number for Mountain Top Medical, PLLC is 1235783994. It was assigned to this organization in the NPPES registry on July 30, 2019.

Q: What is Mountain Top Medical, PLLC's specialty?

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

Active since July 30, 2019CLIA 46D2168731 · Microscopy

140 E 1000 S STE B2, BRIGHAM CITY, UT 84302(435) 515-3030(435) 515-3434 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mountain Top Medical, Pllc NPPES

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

MOUNTAIN TOP MEDICAL, PLLC (NPI 1235783994) is a healthcare organization registered as a family medicine in Brigham City, Utah and active in the NPI registry since July 2019. The organization holds a CLIA Microscopy certificate valid through July 7, 2027 and lists Michael C Shaw, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1235783994

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMOUNTAIN TOP MEDICAL, PLLC

Location Address140 E 1000 S STE B2Brigham City, UT 84302-4399

Mailing Address140 E 1000 S Ste B2Brigham City, UT 84302-4399 · (435) 515-3030 · Fax (435) 515-3434

Phone(435) 515-3030

Fax(435) 515-3434

Organization SubpartNo

Authorized OfficialMichael C ShawCo-owner · (435) 515-3030

Enumeration DateJuly 30, 2019

✔ NPI 1235783994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

140 E 1000 S STE B2, Brigham City, UT 84302

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Top Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mountain Top Medical, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Amber Peterson, FNP-C

Nurse Practitioner

NPI 1861187817

140 E 1000 S STE B2
Brigham City, UT 84302

(435) 515-3030

✔ PECOS✔ Accepts Medicare2.3 mi

Michael Shaw, M.D.

Family Practice

NPI 1235161936

984 MEDICAL DR STE 1
Brigham City, UT 84302

(435) 723-5248

✔ PECOS✔ Accepts Medicare2.8 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2168731

Mountain Top Medical · Brigham City, UT

Active · expires Jul 7, 2027

CLIA Number46D2168731

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorMichael Shaw

Laboratory Phone(435) 515-3030

Laboratory LocationMountain Top Medical140 E 1000 S, Suite B2, Brigham City, UT 84302

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Mountain Top Medical, PLLC's NPI number?

The NPI number for Mountain Top Medical, PLLC is 1235783994. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is Mountain Top Medical, PLLC located?

Mountain Top Medical, PLLC is located at 140 E 1000 S Ste B2, Brigham City, UT 84302. The listed phone number is (435) 515-3030.

What is Mountain Top Medical, PLLC's specialty?

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

Is Mountain Top Medical, PLLC enrolled in Medicare?

Yes. Mountain Top Medical, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Top Medical, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mountain Top Medical, PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain Top Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D2168731) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Top Medical, PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountain Top Medical, PLLC 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.

When was this NPI record last updated?

The NPPES record for Mountain Top Medical, PLLC was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.