DR. GREGORY L STAKER MD
NPI 1275593717
Pediatrics in Roosevelt, UT

Q: What is Gregory Staker's NPI number?

The NPI number for Gregory Staker is 1275593717. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Gregory Staker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Staker was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 March 27, 2006PECOS EnrolledAccepts Medicare Assignment

210 W 300 N 75-3, ROOSEVELT, UT 84066(435) 722-3971(435) 722-6104 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gregory L Staker Md NPPES

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

DR. GREGORY L STAKER MD (NPI 1275593717) is an individual pediatrics provider in Roosevelt, Utah, licensed in Utah (49110821205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (1997).

NPPES Registry Identity

NPI1275593717

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. GREGORY L STAKERCredential: MD

Location Address210 W 300 N 75-3Roosevelt, UT 84066

Mailing Address210 W 300 N 75-3Roosevelt, UT 84066 · (435) 722-3971 · Fax (435) 722-6104

Phone(435) 722-3971

Fax(435) 722-6104

Sole ProprietorYes

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1997

Enumeration DateMarch 27, 2006

Last NPPES UpdateJune 28, 2017

✔ NPI 1275593717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 49110821205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 49110821205 (UT)

210 W 300 N 75-3, Roosevelt, UT 84066

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Other Identifiers 6

Medicare ID-Type Unspecified006486028UT

MedicaidD3854UT

Medicare NSC1068670001UT

Medicare UPINH37591UT

Medicare PIN006166022UT

Other000006166UT · Medicare Group Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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

Dr. Gregory L Staker 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 ID1759305980

PECOS Enrollment IDI20060114000030

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.

Hospital Affiliations CMS Care Compare 3

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460019

Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County

Emergency services Birthing friendly

Ashley Regional Medical Center

Acute Care Hospitals · Vernal, UT

OwnershipProprietary

CMS Certification Number460030

Location150 West 100 NorthVernal, UT 84078 · Uintah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers12 claims24 services$6.07 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims365 services$7.64 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims3,694 services$0.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers12 claims12 services$19.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers29 claims29 services$115.89 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 10

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

DR. SHANNON R STAKER MD

Pediatrics