DR. CLARENCE RICHARD HENRIKSEN III MD
NPI 1598919060
Family Medicine in Salt Lake City, UT

Q: What is Clarence Henriksen's NPI number?

The NPI number for Clarence Henriksen is 1598919060. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Q: What is Clarence Henriksen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Clarence Henriksen enrolled in Medicare?

No. Clarence Henriksen has opted out of Medicare through September 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since November 11, 2008Opted out of Medicare · through Sep 5, 2027

375 CHIPETA WAY, STE A, SALT LAKE CITY, UT 84132(801) 581-8000 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Clarence Richard Henriksen Iii Md NPPES

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

DR. CLARENCE RICHARD HENRIKSEN III MD (NPI 1598919060) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (7152595-1205) and active in the NPI registry since November 2008. He has opted out of Medicare through September 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1598919060

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CLARENCE RICHARD HENRIKSEN IIICredential: MD

Location Address375 CHIPETA WAY, STE ASalt Lake City, UT 84132-0001

Mailing Address375 Chipeta Way, Ste ASalt Lake City, UT 84132-0001 · (801) 581-8000

Phone(801) 581-8000

Sole ProprietorYes

Enumeration DateNovember 11, 2008

✔ NPI 1598919060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 7152595-1205

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.

375 CHIPETA WAY, Salt Lake City, UT 84132

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Clarence Richard Henriksen Iii Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 5, 2017 through September 5, 2027.

Opt-Out Effective DateSeptember 5, 2017

Opt-Out In Effect ThroughSeptember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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

$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.

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 Clarence Henriksen's NPI number?

The NPI number for Clarence Henriksen is 1598919060. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is Clarence Henriksen located?

Clarence Henriksen practices at 375 Chipeta Way Ste A, Salt Lake City, UT 84132. The listed phone number is (801) 581-8000.

What is Clarence Henriksen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clarence Henriksen enrolled in Medicare?

No. Clarence Henriksen has opted out of Medicare through September 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Clarence Henriksen was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.