DR. GARY VAUGHAN HALVERSEN M.D.
NPI 1487625869
Radiology - Diagnostic Radiology in Provo, UT

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
1034 N 500 W, PROVO, UT 84604(801) 225-6246(801) 225-1525 Get Directions Write a Review

NPPES record last updated: October 9, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gary Vaughan Halversen M.d. NPPES

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

DR. GARY VAUGHAN HALVERSEN M.D. (NPI 1487625869) is an individual diagnostic radiology provider in Provo, Utah, licensed in Utah (5176697-1205) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of George Washington University School Of Medicine (2000).

NPPES Registry Identity

NPI1487625869
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. GARY VAUGHAN HALVERSENCredential: M.D.
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing Address560w 800 NOrem, UT 84057-3746 · (801) 225-6424 · Fax (801) 225-1525
Fax(801) 225-1525
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2000
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 9, 2015
NPI 1487625869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in UT · 5176697-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1034 N 500 W, Provo, UT 84604

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. Gary Vaughan Halversen 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 ID1557496643
PECOS Enrollment IDI20100315000445
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 25

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
188 services181 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
128 services125 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
90 services85 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
80 services77 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
56 services56 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
50 services50 patients

Hospital Affiliations CMS Care Compare 5

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Park City Hospital

Acute Care Hospitals · Park City, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460057
Location900 Round Valley DrivePark City, UT 84060 · Summit County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

San Juan Hospital

Critical Access Hospitals · Monticello, UT
OwnershipVoluntary non-profit - Other
CMS Certification Number461308
Location380 West 100 NorthMonticello, UT 84535 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 20

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

Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Hospitalist
1034 N 500 W
PROVO, UT 84604
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604

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 Gary Halversen's NPI number?

The NPI number for Gary Halversen is 1487625869. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Gary Halversen located?

Gary Halversen practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 225-6246.

What is Gary Halversen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gary Halversen enrolled in Medicare?

Yes. Gary Halversen 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 Gary Halversen accept?

Health plans from Select Health list Gary Halversen 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 Gary Halversen affiliated with any hospitals?

According to CMS data, Gary Halversen is affiliated with Utah Valley Hospital, American Fork Hospital, Park City Hospital, Spanish Fork Hospital and San Juan Hospital.

When was this NPI record last updated?

The NPPES record for Gary Halversen was last updated on October 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.