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
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Secondary Practice Locations 2
Accepted 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. 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.
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.
What insurance does Benjamin Metcalfe accept?
Health plans from Molina Healthcare list Benjamin Metcalfe 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 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 with the weekly NPPES data releases published by CMS.
