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DR. MICHAEL SHAUN MACHEN M.D.
NPI 1366418386
Orthopaedic Surgery in Salt Lake City, UT

Active since February 28, 2006PECOS Enrolled
100 MARIO CAPECCHI DR # 4550, SALT LAKE CITY, UT 84113(801) 662-5600 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Shaun Machen M.d. NPPES

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

DR. MICHAEL SHAUN MACHEN M.D. (NPI 1366418386) is an individual orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (4918951-1205) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366418386
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL SHAUN MACHENCredential: M.D.
Location Address100 MARIO CAPECCHI DR # 4550Salt Lake City, UT 84113-1103
Mailing AddressPo Box 413026Salt Lake City, UT 84141-3026 · (801) 213-3900 · Fax (801) 662-5639
Phone(801) 662-5600
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateApril 25, 2022
NPPES CertifiedApril 25, 2022
✔ NPI 1366418386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in UT · 4918951-1205✔ Licensed in TX · L5031
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
100 MARIO CAPECCHI DR # 4550, Salt Lake City, UT 84113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Shaun Machen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Machen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336
Shriners Hospitals For Children
0.7 mi
Pediatric Orthopaedic Surgery
1275 E FAIRFAX RD
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 28 clinicians in this Medicare group
NPI 1396187282 (801) 536-3714

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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

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

DR. STEPHEN KENJI AOKI MD
Orthopaedic Surgery
100 MARIO CAPECCHI DR # 4550
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5600

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 Machen's NPI number?

The NPI number for Michael Machen is 1366418386. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Michael Machen located?

Michael Machen practices at 100 Mario Capecchi Dr # 4550, Salt Lake City, UT 84113. The listed phone number is (801) 662-5600.

What is Michael Machen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Machen enrolled in Medicare?

Yes. Michael Machen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Machen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Machen reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and Shriners Hospitals For Children (Salt Lake City, 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 Michael Machen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Machen accept?

Health plans from Ambetter from Arizona Complete Health, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Michael Machen 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 Michael Machen was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.