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DOUGLAS P PLOWMAN MD
NPI 1255362273
Emergency Medicine - Emergency Medical Services in Logan, UT

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas P Plowman Md NPPES

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

DOUGLAS P PLOWMAN MD (NPI 1255362273) is an individual emergency medical services provider in Logan, Utah, licensed in Utah (2643191205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of University Of Utah School Of Medicine (1990).

NPPES Registry Identity

NPI1255362273
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDOUGLAS P PLOWMANCredential: MD
Location Address1400 N 500 ELogan, UT 84341
Mailing AddressPo Box 25535Salt Lake City, UT 84125 · (866) 898-7136 · Fax (616) 975-9824
Phone(435) 716-1000
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1990
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 12, 2015
✔ NPI 1255362273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in UT · 2643191205
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1400 N 500 E, Logan, UT 84341
Open in Google Maps ↗

Other Identifiers 6

Other930117174Railroad Medicare
Medicare PIN005592404
MedicaidD0310UT
Other5296186401001Bcbs
Medicare UPINF67429
Medicaid806339800ID

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas P Plowman 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 ID5991602732
PECOS Enrollment IDI20060113000891
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

2

Medicare enrollment records show Douglas Plowman 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
Diagnostic Radiology
1400 N 500 E
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1710996673 (Utah)
  • 1,729 clinicians in this Medicare group
NPI 1144736372 (800) 399-6438
Rocky Mountain Emergency Specialists LLC
Same address
Emergency Medicine
1400 N 500 E
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 21 clinicians in this Medicare group
NPI 1225078736 (435) 716-1000

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 4

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
226 services68 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.
151 services59 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.
28 services19 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Bear River Valley Hospital

Acute Care Hospitals · Tremonton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460039
Location905 North 1000 WestTremonton, UT 84337 · Box Elder County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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.

SHAUN P DAHLE PT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-6440
BRANDON DAVID GREENWOOD PT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1000
IHC HEALTH SERVICES INC
Obstetrics & Gynecology
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 752-0422
IHC HEALTH SERVICES INC
Preventive Medicine (Undersea and Hyperbaric Medicine)
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-2250
LOGAN RADIOLOGY GROUP LLC
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Cache County (281) 980-1430
PARKER EUGENE LUDWIG MD
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Cache County (800) 399-6438
NORTHERN UTAH PATHOLOGY PC
Pathology (Anatomic Pathology & Clinical Pathology)
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-5375
SARAH C SIEVERS DPT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 755-3360

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 Douglas Plowman's NPI number?

The NPI number for Douglas Plowman is 1255362273. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Douglas Plowman located?

Douglas Plowman practices at 1400 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-1000.

What is Douglas Plowman's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Douglas Plowman enrolled in Medicare?

Yes. Douglas Plowman 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.

Which organizations bill Medicare for Douglas Plowman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Plowman reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Logan, UT) and Rocky Mountain Emergency Specialists LLC (Logan, UT). Each 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 Douglas Plowman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Plowman accept?

Health plans from Select Health and University of Utah Health Plans list Douglas Plowman 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 Douglas Plowman affiliated with any hospitals?

According to CMS data, Douglas Plowman is affiliated with Logan Regional Hospital and Bear River Valley Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Plowman was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.