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CARL WILLIAM BACON MD
NPI 1962505750
Orthopaedic Surgery in Provo, UT

Active since September 07, 2006PECOS Enrolled
1055 N 500 W, SUITE 121, PROVO, UT 84604(801) 373-7350(801) 812-5401 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2020, Oct 17, 2018 (2 updates tracked since 2018).

About Carl William Bacon Md NPPES

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

CARL WILLIAM BACON MD (NPI 1962505750) is an individual orthopaedic surgery provider in Provo, Utah, licensed in Utah (181471-1205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962505750
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCARL WILLIAM BACONCredential: MD
Location Address1055 N 500 W, SUITE 121Provo, UT 84604-3305
Mailing Address1055 N 500 W, Credentialing DepartmentProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 373-7350
Fax(801) 812-5401
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
✔ NPI 1962505750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in UT · 181471-1205
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1055 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Other Identifiers 5

Other107007443103UT · Ihc
Other68078UT · Pehp
Other09-00096UT · Utah Healthcare
Other20045128UT · Palmetto
Other870281028BACUT · Emia

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl William Bacon Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 20

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

ASHLEY SAUNDERS
Family Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 812-5033
CRYSTAL C HUFFAKER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Utah County (801) 357-7327
SCOTT DELAFIELD EVANS MD
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Utah County (801) 373-7350
EVAN SCOTT NIELSEN MD
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Utah County (801) 373-7350
ROSANNE JOHNSON OLIVER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Utah County (801) 429-8095
LESLEE RONALD ADAMS NP
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Utah County (801) 357-7327
WYATT JAMES BOLES DO
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
DR. REX F RIPPLINGER MD
Internal Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 429-8000

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 Carl Bacon's NPI number?

The NPI number for Carl Bacon is 1962505750. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Carl Bacon located?

Carl Bacon practices at 1055 N 500 W Suite 121, Provo, UT 84604. The listed phone number is (801) 373-7350.

What is Carl Bacon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carl Bacon enrolled in Medicare?

Yes. Carl Bacon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carl Bacon was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.