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

Q: 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.

Q: What is Gary Halversen's specialty?

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

Q: 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 11 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.

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: October 25, 2026.

On this page

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

Phone(801) 225-6246

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

Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Gary Halversen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services, Inc.

Same address

General Acute Care Hospital

1034 N 500 W
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
1,729 clinicians in this Medicare group

NPI 1114025491 (801) 357-7850

Utah Valley Radiology Associates Inc

0.8 mi

Diagnostic Radiology

1055 N 300 W STE 104
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
38 clinicians in this Medicare group

NPI 1265483598 (801) 379-6700

St. George Radiology Inc.

240 mi

Diagnostic Radiology

1308 E 900 S
St George, UT 84790

Reassigned Medicare billing, Utah enrollment
41 clinicians in this Medicare group

NPI 1790736130 (435) 673-2301

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 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

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

36 services36 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

34 services31 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

32 services32 patients

X-ray of chest, 2 views 71046

24 services24 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

21 services21 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

19 services19 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

18 services18 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

17 services16 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

16 services16 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

15 services14 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

14 services14 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

14 services14 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

14 services14 patients

Nuclear medicine study whole body with ct scan 78816

A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.

13 services13 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

13 services13 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

12 services12 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

12 services12 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

11 services11 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

11 services11 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.

IHC HEALTH SERVICES INC

Radiology (Diagnostic Radiology)

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-4423

JAMES TYNAN DALY DO

Hospitalist

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7291

ADAM R KROMMENHOEK MD

Emergency Medicine (Emergency Medical Services)

1034 N 500 W
PROVO, UT 84604

Utah County (801) 373-7850

DR. CHRISTOPHER NATHAN JOHNSON MD

Emergency Medicine

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7850

MARGARET MICHELE MAXFIELD CCC-SLP

Speech-Language Pathologist

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7448

DARBY MELESSE HERRMANN OTR/L

Occupational Therapist

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7850

MRS. HOLLY YORGASON DIETITIAN

Dietitian, Registered

1034 N 500 W
PROVO, UT 84604

Utah County No phone listed

BRENT L GRIFFIN MD

Psychiatry & Neurology (Psychiatry)

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-4542

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.

Which organizations bill Medicare for Gary Halversen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Halversen reassigns Medicare benefits to 3 organizations: Ihc Health Services, Inc. (Provo, UT), Utah Valley Radiology Associates Inc (Provo, UT) and St. George Radiology Inc. (St George, 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 Gary Halversen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.