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PREMIER PLASTIC SURGERY GROUP OF UTAH
NPI 1689906976
Surgery - Plastic and Reconstructive Surgery in Draper, UT

Active since February 11, 2010
11762 S STATE ST STE 220, DRAPER, UT 84020(801) 571-2020(801) 571-6899 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Premier Plastic Surgery Group Of Utah NPPES

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

PREMIER PLASTIC SURGERY GROUP OF UTAH (NPI 1689906976) is a healthcare organization registered as a plastic and reconstructive surgery in Draper, Utah and active in the NPI registry since February 2010. The organization lists Stephanie White, Secretary, as its authorized official.

NPPES Registry Identity

NPI1689906976
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePREMIER PLASTIC SURGERY GROUP OF UTAH
Location Address11762 S STATE ST STE 220Draper, UT 84020-7156
Mailing Address11762 S State St Ste 220Draper, UT 84020-7156 · (801) 571-2020 · Fax (801) 571-6899
Phone(801) 571-2020
Fax(801) 571-6899
Organization SubpartNo
Authorized OfficialStephanie WhiteSecretary · (801) 571-2020
Enumeration DateFebruary 11, 2010
Last NPPES UpdateJanuary 19, 2011
✔ NPI 1689906976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
11762 S STATE ST STE 220, Draper, UT 84020
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Other Identifiers 6

Medicaid529316986001UT
Medicaid528276851028UT
Medicare PINUT03528UT
Medicare PIN000057752UT
Medicare PIN000062982
Medicare PIN005775201UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.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)

Premier Plastic Surgery Group Of Utah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Premier Plastic Surgery Group Of Utah, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Richard Fryer, MD
Plastic and Reconstructive Surgery
NPI 1760572366
11762 S STATE ST STE 220
Draper, UT 84020
(801) 571-2020
✔ PECOSSame address
Steven Warnock, M.D.
Plastic and Reconstructive Surgery
NPI 1457337594
11762 SOUTH STATE ST SUITE 220
Draper, UT 84020
(801) 571-2020
✔ PECOS✔ Accepts MedicareSame address
Nicholas Howland, M.D.
Plastic and Reconstructive Surgery
NPI 1659666295
11762 S STATE ST STE 220
Draper, UT 84020
(801) 571-2020
✔ PECOS✔ Accepts MedicareSame address
Dino Maglic, M.D.
Plastic and Reconstructive Surgery
NPI 1639602790
30 N 1900 E SUITE 3B400
Salt Lake City, UT 84132
(801) 581-8419
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Premier Plastic Surgery Group Of Utah's NPI number?

The NPI number for Premier Plastic Surgery Group Of Utah is 1689906976. It was assigned to this organization in the NPPES registry on February 11, 2010.

Where is Premier Plastic Surgery Group Of Utah located?

Premier Plastic Surgery Group Of Utah is located at 11762 S State St Ste 220, Draper, UT 84020. The listed phone number is (801) 571-2020.

What is Premier Plastic Surgery Group Of Utah's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Premier Plastic Surgery Group Of Utah enrolled in Medicare?

Yes. Premier Plastic Surgery Group Of Utah is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Plastic Surgery Group Of Utah?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Premier Plastic Surgery Group Of Utah. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Plastic Surgery Group Of Utah accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Premier Plastic Surgery Group Of Utah 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 Premier Plastic Surgery Group Of Utah was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.