STACEY BANK
NPI 1790797959
Family Medicine in Salt Lake City, UT

Q: What is Stacey Bank's NPI number?

The NPI number for Stacey Bank is 1790797959. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Stacey Bank's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Bank was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 13, 2006PECOS Enrolled

95.7/100

CMS Quality Rating

4465 S 900 E, SUITE 200, SALT LAKE CITY, UT 84124(801) 266-2777(801) 266-1377 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Stacey Bank NPPES

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

STACEY BANK (NPI 1790797959) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (5391997-1205) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790797959

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACEY BANK

Location Address4465 S 900 E, SUITE 200Salt Lake City, UT 84124-2456

Mailing Address4465 S 900 E, Suite 200Salt Lake City, UT 84124-2456 · (801) 266-2777 · Fax (801) 266-1377

Phone(801) 266-2777

Fax(801) 266-1377

Sole ProprietorNo

Enumeration DateAugust 13, 2006

Last NPPES UpdateOctober 19, 2021

NPPES CertifiedOctober 19, 2021

✔ NPI 1790797959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 5391997-1205

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.

4465 S 900 E, Salt Lake City, UT 84124

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Other Identifiers 1

Medicaid1790797959UT

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 (PECOS)

Stacey Bank 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.

Areas of Expertise CMS Part B claims

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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.

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.

95.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.19

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$59.99 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOUR SEASONS DENTAL LLC

Dentist (General Practice)

4465 S 900 E
SALT LAKE CITY, UT 84124

Salt Lake County (801) 281-0100

MS. LYNN MARIE MULVIHILL RD

Physician Assistant

4465 S 900 E, SUITE 200
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-2777

JOSEPH M. FOOD PA-C

Physician Assistant (Medical)

4465 S 900 E, STE 200
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-2777

DR. CATHERINE J WHEELER MD

Obstetrics & Gynecology

4465 S 900 E, SUITE 275
SALT LAKE CITY, UT 84124

Salt Lake County (801) 272-6100

DR. ROBERT CORSON M.D.

Family Medicine

4465 S 900 E, STE 200
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-2777

DALLEN BART LOVELL PT

Physical Therapist

4465 S 900 E, SUITE 250
SALT LAKE CITY, UT 84124

Salt Lake County (801) 293-8888

BALANCED BODY PHYSICAL THERAPY

Physical Therapist

4465 S 900 E, SUITE 250
SALT LAKE CITY, UT 84124

Salt Lake County (801) 293-8888

TAMARA L NICHOLS MPT

Physical Therapist

4465 S 900 E
SALT LAKE CITY, UT 84124

Salt Lake County (801) 294-6907

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 Stacey Bank's NPI number?

The NPI number for Stacey Bank is 1790797959. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Stacey Bank located?

Stacey Bank practices at 4465 S 900 E Suite 200, Salt Lake City, UT 84124. The listed phone number is (801) 266-2777.

What is Stacey Bank's specialty?

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

Is Stacey Bank enrolled in Medicare?

Yes. Stacey Bank is registered in the Medicare PECOS enrollment system.

What insurance does Stacey Bank accept?

Health plans from Molina Healthcare list Stacey Bank 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 Stacey Bank was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.