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DR. MICHAEL JAMES HENSTROM M.D.
NPI 1962580654
Emergency Medicine in Murray, UT

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-9700 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael James Henstrom M.d. NPPES

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

DR. MICHAEL JAMES HENSTROM M.D. (NPI 1962580654) is an individual emergency medicine provider in Murray, Utah, licensed in Utah (12515948-1205) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1962580654
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL JAMES HENSTROMCredential: M.D.
Location Address5121 S COTTONWOOD STMurray, UT 84107-5701
Mailing Address337 E Siena Heights CtDraper, UT 84020-1815 · (503) 928-9093
Phone(801) 507-9700
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2004
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1962580654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in UT · 12515948-1205✔ Licensed in OR · MD26697
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5121 S COTTONWOOD ST, Murray, UT 84107
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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park Rd, Mail code CDW-EMPortland, OR 97239-3011 · Phone (503) 494-7010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael James Henstrom M.d. 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 ID5991896631
PECOS Enrollment IDI20220531002633
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 Reassignments

3

Medicare enrollment records show Michael Henstrom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Utah Emergency Physicians
Same address
Emergency Medicine
5121 S COTTONWOOD ST
Salt Lake City, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 182 clinicians in this Medicare group
NPI 1588048979 (877) 346-2211
Central Valley Medical Center
64 mi
Family Medicine
48 W 1500 N
Nephi, UT 84648
  • Reassigned Medicare billing, Utah enrollment
  • 35 clinicians in this Medicare group
NPI 1992724975 (435) 623-3000
Northwest Acute Care Specialists PC
640 mi
Emergency Medicine
101 SW MAIN ST STE 940
Portland, OR 97204
  • Reassigned Medicare billing, Oregon enrollment
  • 163 clinicians in this Medicare group
NPI 1215983200 (503) 464-9034

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

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
174 services172 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
129 services120 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services59 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services24 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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.

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.

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

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.

ANASTASIYA MANKOUSKI MD
Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-7000
TARYN A. YOUNG MD
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-4384
NATHANIEL ALAN KELLER DPT
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (805) 798-2901
JENNIFER LAWLEY RN
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
DR. JARED DAVID MILLER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-3500
JONATHAN MIDDLEMISS PA-C
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3460
RICHA PARAG SHETH MD
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
ANDREW SCOTT BIESINGER NP
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3462

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 Michael Henstrom's NPI number?

The NPI number for Michael Henstrom is 1962580654. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Michael Henstrom located?

Michael Henstrom practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-9700.

What is Michael Henstrom's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Henstrom enrolled in Medicare?

Yes. Michael Henstrom 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.

Which organizations bill Medicare for Michael Henstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Henstrom reassigns Medicare benefits to 3 organizations: Utah Emergency Physicians (Salt Lake City, UT), Central Valley Medical Center (Nephi, UT) and Northwest Acute Care Specialists PC (Portland, OR). Each 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 Michael Henstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Henstrom affiliated with any hospitals?

According to CMS data, Michael Henstrom is affiliated with Intermountain Medical Center, Intermountain Health Alta View Hospital and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Michael Henstrom was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.