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RANDALL R FILLMORE MD
NPI 1386675627
Family Medicine in West Jordan, UT

Active since July 05, 2006PECOS Enrolled
2751 W 9000 SOUTH, WEST JORDAN, UT 84088(801) 352-5900(801) 352-5914 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall R Fillmore Md NPPES

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

RANDALL R FILLMORE MD (NPI 1386675627) is an individual family medicine provider in West Jordan, Utah, licensed in Utah (1773791205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386675627
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDALL R FILLMORECredential: MD
Location Address2751 W 9000 SOUTHWest Jordan, UT 84088
Mailing Address3725 W 4100 SouthWest Valley City, UT 84120 · (801) 965-3600 · Fax (801) 965-3526
Phone(801) 352-5900
Fax(801) 352-5914
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 13, 2013
✔ NPI 1386675627 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 · 1773791205
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.
2751 W 9000 SOUTH, West Jordan, UT 84088
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Other Identifiers 1

Medicare UPINF20829

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall R Fillmore Md 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.

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.

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.
29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84088 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims50 services$6.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$58.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.85 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

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

DANA A ANDERSEN MD
Family Medicine
2751 W 9000 SOUTH
WEST JORDAN, UT 84088
Salt Lake County (801) 352-5900

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 Randall Fillmore's NPI number?

The NPI number for Randall Fillmore is 1386675627. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Randall Fillmore located?

Randall Fillmore practices at 2751 W 9000 South, West Jordan, UT 84088. The listed phone number is (801) 352-5900.

What is Randall Fillmore's specialty?

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

Is Randall Fillmore enrolled in Medicare?

Yes. Randall Fillmore is registered in the Medicare PECOS enrollment system.

What insurance does Randall Fillmore accept?

Health plans from Select Health list Randall Fillmore 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 Randall Fillmore was last updated on May 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.