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MONICA PATRICIA PENAFIEL MD
NPI 1821018292
Pathology - Anatomic Pathology in Salt Lake City, UT

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112(801) 587-4331(801) 581-7035 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Monica Patricia Penafiel Md NPPES

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

MONICA PATRICIA PENAFIEL MD (NPI 1821018292) is an individual anatomic pathology provider in Salt Lake City, Utah, licensed in Utah (6540633-1205) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1821018292
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameMONICA PATRICIA PENAFIELCredential: MD
Location Address1950 CIRCLE OF HOPE DRSalt Lake City, UT 84112-5500
Mailing Address1950 Circle Of Hope DrSalt Lake City, UT 84112-5500 · (801) 587-4331 · Fax (801) 581-7035
Phone(801) 587-4331
Fax(801) 581-7035
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1821018292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in UT · 6540633-1205✔ Licensed in OH · 35-08-4455
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1950 CIRCLE OF HOPE DR, Salt Lake City, UT 84112
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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

Monica Patricia Penafiel Md 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 ID4385622901
PECOS Enrollment IDI20071103000022
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 13

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.

Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
382 services54 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
214 services65 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
135 services17 patients
Antibody evaluation, initial single antibody stain procedure 88346
An antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.
87 services58 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
79 services56 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
59 services18 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

BMT DIVISION DEPARTMENT OF UNIVERSITY OF UTAH
Internal Medicine (Hematology & Oncology)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
SETH YOUKSTETTER PA-C
Physician Assistant
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-0100
STEPHANIE BAKER NEERINGS MSN, APRN, FNP-BC
Nurse Practitioner (Family)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
STEPHANIE ANNA SANDERS PHARM.D.
Pharmacist
1950 CIRCLE OF HOPE DR, SUITE 2110
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4272
MS. ERICA JANE FARR PA-C
Physician Assistant (Medical)
1950 CIRCLE OF HOPE DR, SUITE 2810
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-5688
KATE BLAKE NP
Nurse Practitioner
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
THU M TRAN PHARMD
Pharmacist (Oncology)
1950 CIRCLE OF HOPE DR, SUITE 2110, PHARMACY SERVICES
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4475
MARTHA JANE GLENN MD
Internal Medicine (Medical Oncology)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-3800

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 Monica Penafiel's NPI number?

The NPI number for Monica Penafiel is 1821018292. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Monica Penafiel located?

Monica Penafiel practices at 1950 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (801) 587-4331.

What is Monica Penafiel's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Monica Penafiel enrolled in Medicare?

Yes. Monica Penafiel 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.

Is Monica Penafiel affiliated with any hospitals?

According to CMS data, Monica Penafiel is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Monica Penafiel was last updated on December 9, 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.