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DR. MARK JONATHAN DEVENPORT M.D.
NPI 1962453688
Pediatrics in Springville, UT

Active since May 15, 2006PECOS Enrolled
672 W. 400 S., SUITE 101, SPRINGVILLE, UT 84663(801) 491-9883(801) 489-3141 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark Jonathan Devenport M.d. NPPES

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

DR. MARK JONATHAN DEVENPORT M.D. (NPI 1962453688) is an individual pediatrics provider in Springville, Utah, licensed in Utah (340404-1205) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962453688
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK JONATHAN DEVENPORTCredential: M.D.
Location Address672 W. 400 S., SUITE 101Springville, UT 84663
Mailing Address1055 N 500 W, Att. CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 491-9883
Fax(801) 489-3141
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1962453688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 340404-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
672 W. 400 S., Springville, UT 84663
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Jonathan Devenport M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Devenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Revere Health PC
12 mi
Multi-Specialty
1055 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 414 clinicians in this Medicare group
NPI 1093764805 (801) 429-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84663 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
$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 4

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

HOBBLE CREEK MEDICAL CLINIC, LLC
Pediatrics
672 W. 400 S., SUITE 101
SPRINGVILLE, UT 84663
Utah County (801) 491-9883
GEORGE H MICHALEK M.D.
Pediatrics
672 W. 400 S., SUITE 101
SPRINGVILLE, UT 84663
Utah County (801) 491-9883
DAVID DEVENPORT M.D.
Pediatrics
672 W. 400 S., SUITE 101
SPRINGVILLE, UT 84663
Utah County (801) 491-9883
IAN MCMASTER M.D.
Family Medicine
672 W. 400 S., SUITE 101
SPRINGVILLE, UT 84663
Utah County (801) 491-9883

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 Mark Devenport's NPI number?

The NPI number for Mark Devenport is 1962453688. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Mark Devenport located?

Mark Devenport practices at 672 W. 400 S. Suite 101, Springville, UT 84663. The listed phone number is (801) 491-9883.

What is Mark Devenport's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Devenport enrolled in Medicare?

Yes. Mark Devenport is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Devenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Devenport reassigns Medicare benefits to Revere Health PC (Provo, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Devenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Devenport accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Mark Devenport 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 Mark Devenport was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.