DR. DAVID K TENSMEYER MD NPI 1336169176
Family Medicine in Layton, UT
About DR. DAVID K TENSMEYER MD
David Tensmeyer is a primary care provider established in Layton, Utah and his medical specialization is Family Medicine with more than 42 years of experience. He graduated from University Of Utah School Of Medicine in 1981. The NPI number of this provider is 1336169176 and was assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 821687271205 (UT). The provider is registered as an individual and his NPI record was last updated 15 years ago.
| NPI | 1336169176 |
| Provider Name | DR. DAVID K TENSMEYER MD |
| Location Address | 2075 N 1200 W LAYTON, UT 84041 |
| Location Phone | (801) 779-6200 |
| Mailing Address | PO BOX 27128 SALT LAKE CITY, UT 84127 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-21-2006 |
| Last Update Date | 07-10-2008 |
A primary care provider (PCP) like David Tensmeyer sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc David Tensmeyer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
David Tensmeyer is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $25.08 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 821687271205 |
| License State | UT |
| Taxonomy Description | 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2075 N 1200 W
LAYTON, UT
ZIP 84041
Phone: (801) 779-6200
Mailing Address
PO BOX 27128
SALT LAKE CITY, UT
ZIP 84127
Phone: (801) 779-6200
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3779505508 |
| PECOS Enrollment ID | I20051221000366 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 84041 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.18 | $171.82 | $86.74 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.04 | $42.95 | $21.68 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.3 | $140.3 | $100.32 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.32 | $35.07 | $25.08 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000063580 | MEDICARE PIN (08) | UT | |
| C63674 | MEDICARE UPIN (02) | ||
| 005528107 | MEDICARE PIN (08) | ||
| 942854058645 | MEDICAID (05) | UT | |
| 000002767 | MEDICARE PIN (08) | ||
| 005528107 | MEDICARE ID-TYPE UNSPECIFIED (04) | UT | MEDICARE PART B |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 1 | 6 | 9 | 1 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 6 | 18 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 6 + 1 + 8 + 1 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1336169176 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366449241 | DR. ADAM NEBEKER MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1891786968 | JOHN J MURDOCK MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 475-1657 |
| 1568435469 | DR. CRAIG THOMAS HATTON MD Individual | Orthopaedic Surgery | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1417977075 | DR. JOEL G PORTER M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1326061920 | DR. MICHAEL S NIELSEN M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1275556870 | DR. TODD L SHELBY M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1205850229 | DR. JAMES J PORTER PHARMD Individual | Pharmacist | 2075 N 1200 W INTERMOUNTAIN LAYTON PHARMACY LAYTON, UT 84041 (801) 779-6210 |
| 1104934280 | DR. JOHNNIE V COOK MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1194833244 | DR. MARK K MILLIGAN MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1083724934 | MR. GARY JOHN DAWSON R.PH. Individual | Pharmacist | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6210 |
| 1326135807 | DR. BRUCE N STANLEY M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1124107644 | GREG HANCOCK RPH Individual | Pharmacist | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6210 |
| 1447320163 | DR. MARC L JOHNSON M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1437206398 | SHAUNA GAGNER MD Individual | Pediatrics | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1710012745 | IHC HEALTH SERVICES INC Organization | Emergency Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1386779312 | IHC HEALTH SERVICES INC Organization | Pediatrics | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1205966439 | IHC HEALTH SERVICES INC Organization | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 2075 N 1200 W 2ND FLOOR LAYTON, UT 84041 (801) 776-4444 |
| 1942448857 | IHC HEALTH SERVICES INC Organization | Clinic/Center (Multi-Specialty) | 2075 N 1200 W LAYTON, UT 84041 (801) 387-5620 |
| 1669592069 | DR. CHRISTOPHER CONRAD BELL M.D. Individual | Family Medicine (Sports Medicine) | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1053367631 | IHC HEALTH SERVICES, INC Organization | Radiologic Technologist | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
Frequently Asked Questions
What is Dr. David Tensmeyer MD NPI number?
The NPI number assigned to this healthcare provider is 1336169176, registered as an "individual" on July 21, 2006
Where is Dr. David Tensmeyer MD located?
The provider is located at 2075 N 1200 W Layton, Ut 84041 and the phone number is (801) 779-6200
Which is Dr. David Tensmeyer MD specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. David Tensmeyer MD have?
The provider has more than 42 years of experience. He graduated from University Of Utah School Of Medicine in 1981.
What insurance does Dr. David Tensmeyer MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. David Tensmeyer MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. David Tensmeyer MD?
Medicare beneficiaries should expect a typical cost of $86.74 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $100.32 and an average copayment of 25.08. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. David Tensmeyer MD was last updated on July 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.