DR. MIRIAM PECKHAM M.D.
NPI 1598056848
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
30 N 1900 E # 1C412, GME OFFICE, SALT LAKE CITY, UT 84132(801) 581-2401(801) 585-2507 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2021, Jul 13, 2017, Jun 16, 2016 (3 updates tracked since 2016).

About Dr. Miriam Peckham M.d. NPPES

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

DR. MIRIAM PECKHAM M.D. (NPI 1598056848) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (9683730-1205) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1598056848
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MIRIAM PECKHAMCredential: M.D.
Location Address30 N 1900 E # 1C412, GME OFFICESalt Lake City, UT 84132-2115
Mailing Address30 N 1900 E # 1c412, Gme OfficeSalt Lake City, UT 84132-2115 · (801) 581-2401 · Fax (801) 585-2507
Fax(801) 585-2507
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2011
Enumeration DateApril 20, 2011
Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1598056848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in UT · 9683730-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
30 N 1900 E # 1C412, Salt Lake City, UT 84132

Other Names 1

Former Name (1)Miriam Young

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. Miriam Peckham 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 ID4385934991
PECOS Enrollment IDI20170626001378
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 14

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.

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.
112 services107 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
82 services81 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.
42 services41 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.
41 services41 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.
28 services28 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.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Physical Medicine & Rehabilitation
30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132
Surgery
30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132

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 Miriam Peckham's NPI number?

The NPI number for Miriam Peckham is 1598056848. It was assigned to this individual provider in the NPPES registry on April 20, 2011. The provider is also known as Miriam Young.

Where is Miriam Peckham located?

Miriam Peckham practices at 30 N 1900 E # 1c412 Gme Office, Salt Lake City, UT 84132. The listed phone number is (801) 581-2401.

What is Miriam Peckham's specialty?

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

Is Miriam Peckham enrolled in Medicare?

Yes. Miriam Peckham 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.

Is Miriam Peckham affiliated with any hospitals?

According to CMS data, Miriam Peckham is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Miriam Peckham was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.