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DR. GENCI P. BABAMETO M.D.
NPI 1841264702
Internal Medicine - Gastroenterology in West Jordan, UT

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
3590 W 9000 S STE 120, WEST JORDAN, UT 84088(801) 208-1075(385) 351-6735 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Oct 11, 2023, Dec 7, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Genci P. Babameto M.d. NPPES

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

DR. GENCI P. BABAMETO M.D. (NPI 1841264702) is an individual gastroenterology provider in West Jordan, Utah, licensed in Utah (14186030-1235) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1841264702
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GENCI P. BABAMETOCredential: M.D.
Location Address3590 W 9000 S STE 120West Jordan, UT 84088-8858
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Phone(801) 208-1075
Fax(385) 351-6735
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 15, 2006
Last NPPES UpdateNovember 26, 20246 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1841264702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in UT · 14186030-1235✔ Licensed in UT · 14186030-8905✔ Licensed in PA · MD073245L✔ Licensed in WI · 50173✔ Licensed in MT · 130278
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3590 W 9000 S STE 120, West Jordan, UT 84088
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Secondary Practice Locations 4

Location 1100 N Academy AveDanville, PA 17822-2111 · Phone (570) 271-6439
Location 21401 25th St SGreat Falls, MT 59405-5183 · Phone (406) 731-8888 · Fax (406) 731-8318
Location 3700 West Ave SLA Crosse, WI 54601 · Phone (608) 785-0940
Location 4200 1st St SWRochester, MN 55905-0001 · Phone (715) 838-5222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Dr. Genci P. Babameto 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 ID749388130
PECOS Enrollment IDI20241209001997
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 5

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
21 services21 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
14 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84088 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 2

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

CATHOLIC HEALTH INITIATIVES COLORADO
Internal Medicine (Gastroenterology)
3590 W 9000 S STE 120
WEST JORDAN, UT 84088
Salt Lake County (801) 208-1075
DR. ISHAN BHATTACHARYA MD
Internal Medicine (Gastroenterology)
3590 W 9000 S STE 120
WEST JORDAN, UT 84088
Salt Lake County (801) 208-1075

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 Genci Babameto's NPI number?

The NPI number for Genci Babameto is 1841264702. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Genci Babameto located?

Genci Babameto practices at 3590 W 9000 S Ste 120, West Jordan, UT 84088. The listed phone number is (801) 208-1075.

What is Genci Babameto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Genci Babameto enrolled in Medicare?

Yes. Genci Babameto 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 Genci Babameto accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Molina Healthcare and 2 other insurers list Genci Babameto 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 Genci Babameto affiliated with any hospitals?

According to CMS data, Genci Babameto is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc..

When was this NPI record last updated?

The NPPES record for Genci Babameto was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.