NICHOLAS E. GAVERN MD
NPI 1891255071
Physical Medicine & Rehabilitation in Salt Lake City, UT

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
95.91/100
CMS Quality Rating
30 N 1900 E RM 1C301, SALT LAKE CITY, UT 84132(801) 581-7985 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2023, Aug 21, 2020, Mar 22, 2019 (3 updates tracked since 2019).

About Nicholas E. Gavern Md NPPES

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

NICHOLAS E. GAVERN MD (NPI 1891255071) is an individual physical medicine & rehabilitation provider in Salt Lake City, Utah, licensed in Utah (11899055-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Michigan State University College Of Human Medicine (2019).

NPPES Registry Identity

NPI1891255071
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameNICHOLAS E. GAVERNCredential: MD
Location Address30 N 1900 E RM 1C301Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 1c301Salt Lake City, UT 84132-0002 · (801) 581-7985
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2019
Enumeration DateMarch 22, 2019
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1891255071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in UT · 11899055-1205
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
30 N 1900 E RM 1C301, Salt Lake City, UT 84132

Accepted 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

Nicholas E. Gavern 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 ID7416375969
PECOS Enrollment IDI20230726003768
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 6

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.
920 services148 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.
56 services53 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.
56 services54 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
33 services15 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.
25 services20 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.
17 services12 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

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.

95.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Physical Medicine & Rehabilitation
30 N 1900 E RM 1C301
SALT LAKE CITY, UT 84132
Physical Medicine & Rehabilitation
30 N 1900 E RM 1C301
SALT LAKE CITY, UT 84132
Physical Medicine & Rehabilitation
30 N 1900 E RM 1C301
SALT LAKE CITY, UT 84132
Physical Medicine & Rehabilitation
30 N 1900 E RM 1C301
SALT LAKE CITY, UT 84132
Physical Medicine & Rehabilitation
30 N 1900 E RM 1C301
SALT LAKE CITY, UT 84132

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 Nicholas Gavern's NPI number?

The NPI number for Nicholas Gavern is 1891255071. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Nicholas Gavern located?

Nicholas Gavern practices at 30 N 1900 E Rm 1c301, Salt Lake City, UT 84132. The listed phone number is (801) 581-7985.

What is Nicholas Gavern's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Nicholas Gavern enrolled in Medicare?

Yes. Nicholas Gavern 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 Nicholas Gavern accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Nicholas Gavern 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 Nicholas Gavern affiliated with any hospitals?

According to CMS data, Nicholas Gavern is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Nicholas Gavern was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.