MICHAEL TRAVIS IVAN DO
NPI 1528695533
Family Medicine in Ogden, UT

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
4403 HARRISON BLVD STE 700A, OGDEN, UT 84403(801) 387-5300(801) 387-5333 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2023, Dec 2, 2021, Mar 27, 2020 (3 updates tracked since 2020).

About Michael Travis Ivan Do NPPES

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

MICHAEL TRAVIS IVAN DO (NPI 1528695533) is an individual family medicine provider in Ogden, Utah, licensed in Utah (12382175-1204) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Sevier Valley Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2020).

NPPES Registry Identity

NPI1528695533
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL TRAVIS IVANCredential: DO
Location Address4403 HARRISON BLVD STE 700AOgden, UT 84403-3295
Mailing Address1149 23rd StOgden, UT 84401-1906 · (801) 687-8510
Fax(801) 387-5333
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateApril 13, 20233 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
NPI 1528695533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 12382175-1204
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.

4403 HARRISON BLVD STE 700A, Ogden, UT 84403

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

Michael Travis Ivan Do 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 ID3476942632
PECOS Enrollment IDI20211110001574
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services20 patients
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.
39 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460026
Location1000 North Main StreetRichfield, UT 84701 · Sevier County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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.

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.

Family Medicine
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403
Family Medicine
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403
Social Worker (Clinical)
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403
Family Medicine
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403
Family Medicine
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403
General Practice
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403
Family Medicine
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403
Student in an Organized Health Care Education/Training Program
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528695533, enumerated as an "individual" on March 27, 2020.

The provider is located at 4403 HARRISON BLVD STE 700A OGDEN, UT 84403 and the phone number is (801) 387-5300.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Molina Healthcare, Select Health and University of. Please consult your insurance carrier or call the provider to verify.

Michael Ivan is affiliated with: SEVIER VALLEY HOSPITAL.