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DR. KENNETH PAUL LIBRE M.D.
NPI 1801873534
Family Medicine in Alta, UT

Active since December 23, 2005PECOS Enrolled
10160 E HIGHWAY 210, SUITE 1, GOLDMINER'S DAUGHTER LODGE, ALTA, UT 84092(801) 742-2273 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth Paul Libre M.d. NPPES

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

DR. KENNETH PAUL LIBRE M.D. (NPI 1801873534) is an individual family medicine provider in Alta, Utah, licensed in Utah (328690-1205) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1994).

NPPES Registry Identity

NPI1801873534
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH PAUL LIBRECredential: M.D.
Location Address10160 E HIGHWAY 210, SUITE 1, GOLDMINER'S DAUGHTER LODGEAlta, UT 84092-8072
Mailing AddressPo Box 8072Alta, UT 84092-8072 · (801) 742-2273
Phone(801) 742-2273
Sole ProprietorYes
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1994
Enumeration DateDecember 23, 2005
Last NPPES UpdateDecember 21, 2012
✔ NPI 1801873534 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 · 328690-1205
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.
10160 E HIGHWAY 210, Alta, UT 84092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Paul Libre M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557391067
PECOS Enrollment IDI20050815000812
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenneth Libre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alta Medical Services PC
0.1 mi
Urgent Care
10160 E HIGHWAY 210
Alta, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1740348556 (801) 742-2273
Community Health Centers, Inc.
13 mi
Federally Qualified Health Center (FQHC)
1365 W 1000 N
Salt Lake City, UT 84116
  • Reassigned Medicare billing, Utah enrollment
  • 59 clinicians in this Medicare group
NPI 1538267828 (801) 328-5750

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

Areas of Expertise CMS Part B claims 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84092 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.

Other Providers at the Same Location NPPES

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

ALTA MEDICAL SERVICES PC
Clinic/Center (Urgent Care)
10160 E HIGHWAY 210
ALTA, UT 84092
Salt Lake County (801) 742-2273

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 Kenneth Libre's NPI number?

The NPI number for Kenneth Libre is 1801873534. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Kenneth Libre located?

Kenneth Libre practices at 10160 E Highway 210 Suite 1, Goldminer's Daughter Lodge, Alta, UT 84092. The listed phone number is (801) 742-2273.

What is Kenneth Libre's specialty?

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

Is Kenneth Libre enrolled in Medicare?

Yes. Kenneth Libre is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Libre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Libre reassigns Medicare benefits to 2 organizations: Alta Medical Services PC (Alta, UT) and Community Health Centers, Inc. (Salt Lake City, UT). Each 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 Kenneth Libre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Libre accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kenneth Libre 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 Kenneth Libre affiliated with any hospitals?

According to CMS data, Kenneth Libre is affiliated with Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Libre was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.