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ALAN L COLLEDGE MD
NPI 1629169370
Family Medicine in Provo, UT

Active since September 27, 2006PECOS Enrolled
1055 N 500 W, SUITE 121, PROVO, UT 84604(801) 373-7350(801) 812-5401 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2020, Oct 22, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Alan L Colledge Md NPPES

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

ALAN L COLLEDGE MD (NPI 1629169370) is an individual family medicine provider in Provo, Utah, licensed in Utah (178606-1205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629169370
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALAN L COLLEDGECredential: MD
Location Address1055 N 500 W, SUITE 121Provo, UT 84604-3305
Mailing Address1055 N 500 W, Credentialing DepartmentProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 373-7350
Fax(801) 812-5401
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1629169370 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 · 178606-1205
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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 178606-1205 (UT)
1055 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Other Identifiers 7

Other020188719UT · Palmetto
Other20025UT · Dmba
OtherQM000056643UT · Altius
Other107006523102UT · Ihc
Other2300056UT · Utah Healthcare
Other68082UT · Pehp
Other870281028COLUT · Emia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan L Colledge Md 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 84604 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.

ASHLEY SAUNDERS
Family Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 812-5033
CRYSTAL C HUFFAKER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Utah County (801) 357-7327
SCOTT DELAFIELD EVANS MD
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Utah County (801) 373-7350
EVAN SCOTT NIELSEN MD
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Utah County (801) 373-7350
ROSANNE JOHNSON OLIVER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Utah County (801) 429-8095
LESLEE RONALD ADAMS NP
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Utah County (801) 357-7327
WYATT JAMES BOLES DO
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
DR. REX F RIPPLINGER MD
Internal Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 429-8000

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 Alan Colledge's NPI number?

The NPI number for Alan Colledge is 1629169370. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Alan Colledge located?

Alan Colledge practices at 1055 N 500 W Suite 121, Provo, UT 84604. The listed phone number is (801) 373-7350.

What is Alan Colledge's specialty?

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

Is Alan Colledge enrolled in Medicare?

Yes. Alan Colledge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alan Colledge was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.