DR. BENJAMIN METCALFE D.O.
NPI 1376953539
Anesthesiology - Pediatric Anesthesiology in Draper, UT
About Dr. Benjamin Metcalfe D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN METCALFE D.O. (NPI 1376953539) is an individual pediatric anesthesiology provider in Draper, Utah, licensed in Utah (11019100-1204) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Dr. Benjamin Metcalfe D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Benjamin Metcalfe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Jordan, UT 84088
- Reassigned Medicare billing, Utah enrollment
- 15 clinicians in this Medicare group
Salt Lake City, UT 84124
- Reassigned Medicare billing, Utah enrollment
- 59 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTLone Peak Hospital
Acute Care Hospitals · Draper, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DRAPER, UT 84020
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 Benjamin Metcalfe's NPI number?
The NPI number for Benjamin Metcalfe is 1376953539. It was assigned to this individual provider in the NPPES registry on April 28, 2014.
Where is Benjamin Metcalfe located?
Benjamin Metcalfe practices at 11925 S State St, Draper, UT 84020. The listed phone number is (801) 545-8000.
What is Benjamin Metcalfe's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.
Is Benjamin Metcalfe enrolled in Medicare?
Yes. Benjamin Metcalfe 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 Benjamin Metcalfe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Metcalfe reassigns Medicare benefits to 2 organizations: Family Surgical Suite (West Jordan, UT) and Millcreek Anesthesia PC (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 Benjamin Metcalfe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Benjamin Metcalfe affiliated with any hospitals?
According to CMS data, Benjamin Metcalfe is affiliated with St Mark's Hospital and Lone Peak Hospital.
When was this NPI record last updated?
The NPPES record for Benjamin Metcalfe was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Benjamin Metcalfe, D.O. · NPI 1376953539
Pediatric Anesthesiology physician in Draper, Utah. Individual provider, active in the CMS NPPES registry since April 28, 2014.
## Identity
- **NPI:** 1376953539 (Entity type: Individual)
- **Enumerated:** April 28, 2014
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** 11019100-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 11925 S STATE ST, Draper, UT 84020
- **Phone:** (801) 545-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Family Surgical Suite (NPI 1508040221, West Jordan, UT); Millcreek Anesthesia PC (NPI 1306879820, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2014
## Record status
- **NPPES last updated:** September 3, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1376953539) · Data from the CMS NPPES public registry.