1. Home
  2. Directory
  3. Utah
  4. Price
  5. Clinic Center
  6. NPI Profile

PINE TOP MEDICAL P.C.
NPI 1679956445
Clinic/Center in Price, UT

Active since June 29, 2015CLIA 46D2099023 · Waiver
284 N HOSPITAL DR, SUITE 2, PRICE, UT 84501(435) 637-5690(435) 637-9809 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pine Top Medical P.c. NPPES

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

PINE TOP MEDICAL P.C. (NPI 1679956445) is a healthcare organization registered as a clinic/center in Price, Utah and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Eugene Douglas Larsen, President, as its authorized official.

NPPES Registry Identity

NPI1679956445
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePINE TOP MEDICAL P.C.
Location Address284 N HOSPITAL DR, SUITE 2Price, UT 84501-4233
Mailing Address284 N Hospital Dr, Suite 2Price, UT 84501-4233 · (435) 637-5690 · Fax (435) 637-9809
Phone(435) 637-5690
Fax(435) 637-9809
Organization SubpartNo
Authorized OfficialEugene Douglas LarsenPresident · (801) 309-5156
Enumeration DateJune 29, 2015
Last NPPES UpdateAugust 10, 2015
✔ NPI 1679956445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in UT · 93369771204
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
284 N HOSPITAL DR, Price, UT 84501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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)

Pine Top Medical P.c. 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 Pine Top Medical P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Eugene Larsen, DO
Internal Medicine
NPI 1447513221
280 N HOSPITAL DR STE 4
Price, UT 84501
(435) 637-5690
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2099023

Pine Top Medical · Price, UT
Active · expires Jul 19, 2027
CLIA Number46D2099023
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorEugene D. Larsen
Laboratory Phone(435) 637-5690
Laboratory LocationPine Top Medical284 N Hospital Drive, Suite 2, Price, UT 84501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pine Top Medical P.C.'s NPI number?

The NPI number for Pine Top Medical P.C. is 1679956445. It was assigned to this organization in the NPPES registry on June 29, 2015.

Where is Pine Top Medical P.C. located?

Pine Top Medical P.C. is located at 284 N Hospital Dr Suite 2, Price, UT 84501. The listed phone number is (435) 637-5690.

What is Pine Top Medical P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Pine Top Medical P.C. enrolled in Medicare?

Yes. Pine Top Medical P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pine Top Medical P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pine Top Medical P.C.. 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.

Does Pine Top Medical P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2099023) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pine Top Medical P.C. accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Pine Top Medical P.C. 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 Pine Top Medical P.C. was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.