CAITLIN GLUCK
NPI 1760002604
Internal Medicine - Critical Care Medicine in Ogden, UT

Q: What is Caitlin Gluck's NPI number?

The NPI number for Caitlin Gluck is 1760002604. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Q: What is Caitlin Gluck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Gluck was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 April 21, 2020PECOS EnrolledAccepts Medicare Assignment

4401 HARRISON BLVD, OGDEN, UT 84403(801) 387-2800(801) 387-2050 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Apr 21, 2020 (2 updates tracked since 2020).

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About Caitlin Gluck NPPES

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

CAITLIN GLUCK (NPI 1760002604) is an individual critical care medicine provider in Ogden, Utah, licensed in Utah (14217959-1204) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in Logan.

NPPES Registry Identity

NPI1760002604

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameCAITLIN GLUCK

Location Address4401 HARRISON BLVDOgden, UT 84403-3195

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 387-2800

Fax(801) 387-2050

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 21, 2020

Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1760002604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in UT · 14217959-1204

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 14217959-1204 (UT), R3316 (AZ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4401 HARRISON BLVD, Ogden, UT 84403

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Secondary Practice Location 1

Location 11400 N 500 ELogan, UT 84341-2455 · Phone (866) 415-6556

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caitlin Gluck is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971926858

PECOS Enrollment IDI20250819001808

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460058

Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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

$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.

MIKHAIL SHIPOTKO MD

Hospitalist