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STILL CANYON EYELID & FACIAL PLASTIC SURGERY
NPI 1578780805
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Holladay, UT

Active since April 19, 2007
5200 S HIGHLAND DR STE 201, HOLLADAY, UT 84117(801) 363-3356(801) 533-9613 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Still Canyon Eyelid & Facial Plastic Surgery NPPES

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

STILL CANYON EYELID & FACIAL PLASTIC SURGERY (NPI 1578780805) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Holladay, Utah and active in the NPI registry since April 2007. The organization lists Thomas J J Oberg, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1578780805
Entity TypeOrganization
Primary Taxonomy207WX0200X
Legal Business NameOCULOPLASTIC SURGERY, INC.
Location Address5200 S HIGHLAND DR STE 201Holladay, UT 84117-7003
Mailing Address5200 S Highland Dr Ste 201Holladay, UT 84117-7003 · (801) 363-3356 · Fax (801) 533-9613
Phone(801) 363-3356
Fax(801) 533-9613
Organization SubpartNo
Authorized OfficialThomas J J ObergProvider/owner · (801) 363-3356
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1578780805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
5200 S HIGHLAND DR STE 201, Holladay, UT 84117
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Other Names 1

Doing Business AsStill Canyon Eyelid & Facial Plastic Surgery

Other Identifiers 3

Medicaid479544679030UT
Medicaid464491680001UT
Medicaid485924851015UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Still Canyon Eyelid & Facial Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Still Canyon Eyelid & Facial Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Oberg, M.D.
Ophthalmology
NPI 1801021126
5200 S HIGHLAND DR STE 201
Holladay, UT 84117
(801) 363-3356
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oculoplastic Surgery, Inc.'s NPI number?

The NPI number for Oculoplastic Surgery, Inc. is 1578780805. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Still Canyon Eyelid & Facial Plastic Surgery.

Where is Oculoplastic Surgery, Inc. located?

Oculoplastic Surgery, Inc. is located at 5200 S Highland Dr Ste 201, Holladay, UT 84117. The listed phone number is (801) 363-3356.

What is Oculoplastic Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Oculoplastic Surgery, Inc. enrolled in Medicare?

Yes. Oculoplastic Surgery, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oculoplastic Surgery, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Oculoplastic Surgery, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oculoplastic Surgery, Inc. accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Oculoplastic Surgery, Inc. 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 Oculoplastic Surgery, Inc. was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.