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DR. CHARLES D. WHITE M.D.
NPI 1366486805
Family Medicine in Salt Lake City, UT

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
1138 E WILMINGTON AVE, SALT LAKE CITY, UT 84106(801) 413-0250(801) 463-0313 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles D. White M.d. NPPES

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

DR. CHARLES D. WHITE M.D. (NPI 1366486805) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (311210-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Medical College Of Wisconsin (2000).

NPPES Registry Identity

NPI1366486805
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES D. WHITECredential: M.D.
Location Address1138 E WILMINGTON AVESalt Lake City, UT 84106-2819
Mailing AddressPo Box 510004Salt Lake City, UT 84151-0004 · (801) 213-3900 · Fax (801) 585-3655
Phone(801) 413-0250
Fax(801) 463-0313
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2000
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1366486805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 311210-1205
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.
1138 E WILMINGTON AVE, Salt Lake City, UT 84106
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles D. White M.d. 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 ID6406750256
PECOS Enrollment IDI20031122000061
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.

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.

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.
321 services141 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 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.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84106 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$163.47 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.

TIMOTHY HAACKER DPT
Physical Therapist
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106
Salt Lake County (801) 581-2000
LISA SCHWEITZER M.S. CCC-SLP
Speech-Language Pathologist
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106
Salt Lake County (801) 581-2221
CRYSTAL GROVER FNP
Nurse Practitioner (Family)
1138 E WILMINGTON AVE
SLC, UT 84106
Salt Lake County (801) 581-2000
ABBY WHITE
Occupational Therapist
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106
Salt Lake County (801) 581-2221
SHAUN CURRAN
Physician Assistant
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106
Salt Lake County (801) 581-2000
ANN ELIZABETH WALLACE OTR/L
Occupational Therapist
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106
Salt Lake County (801) 581-2221
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Family Medicine
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106
Salt Lake County (801) 581-2121
LORI STRAIN CCSH
Technician/Technologist
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106
Salt Lake County (801) 213-2724

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 Charles White's NPI number?

The NPI number for Charles White is 1366486805. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Charles White located?

Charles White practices at 1138 E Wilmington Ave, Salt Lake City, UT 84106. The listed phone number is (801) 413-0250.

What is Charles White's specialty?

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

Is Charles White enrolled in Medicare?

Yes. Charles White 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.

What insurance does Charles White accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Charles White 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 Charles White affiliated with any hospitals?

According to CMS data, Charles White is affiliated with University Of Utah Hospitals And Clinics and Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Charles White was last updated on December 17, 2021. 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.