PHILIP KRUKOW
NPI 1962175109
Physician Assistant in Tooele, UT

Active since July 25, 2021PECOS EnrolledAccepts Medicare Assignment
30 S TOOELE BLVD, TOOELE, UT 84074(435) 248-0333(435) 248-0334 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2026, Jan 26, 2022, Jul 25, 2021 (3 updates tracked since 2021).

About Philip Krukow NPPES

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

PHILIP KRUKOW (NPI 1962175109) is an individual physician assistant in Tooele, Utah, licensed in Utah (12591198-1206) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962175109
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHILIP KRUKOW
Location Address30 S TOOELE BLVDTooele, UT 84074-2093
Mailing Address2462 N 720 WClinton, UT 84015-9712 · (801) 668-2901
Fax(435) 248-0334
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 25, 2021
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1962175109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 12591198-1206
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

30 S TOOELE BLVD, Tooele, UT 84074

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

Philip Krukow 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 ID6709279896
PECOS Enrollment IDI20220214001744
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services49 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Methadone)
30 S TOOELE BLVD
TOOELE, UT 84074
Physician Assistant
30 S TOOELE BLVD
TOOELE, UT 84074
Physician Assistant
30 S TOOELE BLVD
TOOELE, UT 84074
Physician Assistant (Medical)
30 S TOOELE BLVD
TOOELE, UT 84074

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 Philip Krukow's NPI number?

The NPI number for Philip Krukow is 1962175109. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Where is Philip Krukow located?

Philip Krukow practices at 30 S Tooele Blvd, Tooele, UT 84074. The listed phone number is (435) 248-0333.

What is Philip Krukow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Philip Krukow enrolled in Medicare?

Yes. Philip Krukow 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 Philip Krukow accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Philip Krukow 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.

When was this NPI record last updated?

The NPPES record for Philip Krukow was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.