MR. JOHN MICHAEL SELF MD
NPI 1912012287
Plastic Surgery in Murray, UT

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
5292 SO COLLEGE DR, 202, MURRAY, UT 84123(801) 266-3671(801) 266-8194 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Michael Self Md NPPES

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

MR. JOHN MICHAEL SELF MD (NPI 1912012287) is an individual plastic surgery provider in Murray, Utah, licensed in Utah (3557751205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of University Of Alabama School Of Medicine (1978).

NPPES Registry Identity

NPI1912012287
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. JOHN MICHAEL SELFCredential: MD
Location Address5292 SO COLLEGE DR, 202Murray, UT 84123
Mailing Address5292 So College Dr, 202Murray, UT 84123 · (801) 266-3671 · Fax (801) 266-8194
Fax(801) 266-8194
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1978
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912012287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in UT · 3557751205
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5292 SO COLLEGE DR, Murray, UT 84123

Other Identifiers 1

Medicare UPINC75700

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

Mr. John Michael Self 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 ID9032180401
PECOS Enrollment IDI20040802000540
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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Self's NPI number?

The NPI number for John Self is 1912012287. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is John Self located?

John Self practices at 5292 So College Dr 202, Murray, UT 84123. The listed phone number is (801) 266-3671.

What is John Self's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is John Self enrolled in Medicare?

Yes. John Self 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 John Self affiliated with any hospitals?

According to CMS data, John Self is affiliated with St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for John Self was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.