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MARK A. RADA M.D.
NPI 1770515140
Internal Medicine in Sandy, UT

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
66.95/100
CMS Quality Rating
8074 S 1300 E, SANDY, UT 84094(801) 565-6500(801) 565-6600 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A. Rada M.d. NPPES

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

MARK A. RADA M.D. (NPI 1770515140) is an individual internal medicine provider in Sandy, Utah, licensed in Utah (364209-8905) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Arizona College Of Medicine (1997).

NPPES Registry Identity

NPI1770515140
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK A. RADACredential: M.D.
Location Address8074 S 1300 ESandy, UT 84094-0743
Mailing AddressPo Box 307Bountiful, UT 84011-0307 · (801) 294-6907 · Fax (801) 294-6917
Phone(801) 565-6500
Fax(801) 565-6600
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1997
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 16, 2015
✔ NPI 1770515140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 364209-8905
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8074 S 1300 E, Sandy, UT 84094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Mark A. Rada M.d. 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 ID1052212040
PECOS Enrollment IDI20040113000812
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,493 services318 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
980 services272 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
178 services170 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services53 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
51 services24 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
48 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460005
Location5475 South 500 EastOgden, UT 84405 · Weber County
Emergency services

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84094 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.

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.

66.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality33.73
Improvement Activities40
Cost44.86

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%132 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
2 suppliers12 claims12 services$10.14 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$38.26 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier20 claims20 services$15.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACOB EGBERT LLC
Physical Medicine & Rehabilitation
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 561-3400
ANINA MERRILL M.D.
Physical Medicine & Rehabilitation
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 565-6500
JESSE WALKER DO PLLC
Physical Medicine & Rehabilitation
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 565-6751
ENCOMPASS HOME HEALTH OF THE WEST, LLC
Home Health
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (214) 239-6500
MARK RADA MD INC
Internal Medicine
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 565-6500
PAULA MICHELLE GEDDES PHARMD
Pharmacist
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 561-3400
SPENCER JONES MD
Internal Medicine
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 565-6500
ELIE ELOVIC MD LLC
Physical Medicine & Rehabilitation
8074 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 565-6739

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 Mark Rada's NPI number?

The NPI number for Mark Rada is 1770515140. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mark Rada located?

Mark Rada practices at 8074 S 1300 E, Sandy, UT 84094. The listed phone number is (801) 565-6500.

What is Mark Rada's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Rada enrolled in Medicare?

Yes. Mark Rada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Rada accept?

Health plans from Molina Healthcare list Mark Rada 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.

Is Mark Rada affiliated with any hospitals?

According to CMS data, Mark Rada is affiliated with Utah Valley Hospital, Mckay-Dee Hospital, Ogden Regional Medical Center and Timpanogos Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mark Rada was last updated on April 16, 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.