PHILLIP CARL HOOPES SR. M.D.
NPI 1629067921
Ophthalmology in Draper, UT

Q: What is Phillip Hoopes's NPI number?

The NPI number for Phillip Hoopes is 1629067921. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Phillip Hoopes's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Hoopes was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 19, 2005PECOS Enrolled

62.15/100

CMS Quality Rating

11820 SO STATE ST., 200, DRAPER, UT 84020(801) 568-0200(801) 563-0200 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip Carl Hoopes Sr. M.d. NPPES

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

PHILLIP CARL HOOPES SR. M.D. (NPI 1629067921) is an individual ophthalmology provider in Draper, Utah, licensed in Utah (1616761205) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629067921

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NamePHILLIP CARL HOOPES SR.Credential: M.D.

Location Address11820 SO STATE ST., 200Draper, UT 84020-7160

Mailing Address11820 South State Street, 200Draper, UT 84020-7160 · (801) 568-0200

Phone(801) 568-0200

Fax(801) 563-0200

Sole ProprietorYes

Enumeration DateOctober 19, 2005

Last NPPES UpdateMarch 26, 2013

✔ NPI 1629067921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in UT · 1616761205

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

11820 SO STATE ST., Draper, UT 84020

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Other Identifiers 3

Medicare UPINB74246

Medicare PIN000012272UT

Medicaid510929546001UT

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip Carl Hoopes Sr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

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.

62.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.93

Improvement Activities

Cost

93.94

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 Phillip Hoopes's NPI number?

The NPI number for Phillip Hoopes is 1629067921. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Phillip Hoopes located?

Phillip Hoopes practices at 11820 So State St. 200, Draper, UT 84020. The listed phone number is (801) 568-0200.

What is Phillip Hoopes's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Phillip Hoopes enrolled in Medicare?

Yes. Phillip Hoopes is registered in the Medicare PECOS enrollment system.

What insurance does Phillip Hoopes accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Phillip Hoopes 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 Phillip Hoopes was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.