BENJAMIN NORDBY M.D.
NPI 1972765402
Family Medicine in Provo, UT

Q: What is Benjamin Nordby's NPI number?

The NPI number for Benjamin Nordby is 1972765402. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Benjamin Nordby's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Nordby was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment

395 W COUGAR BLVD STE 205, PROVO, UT 84604(801) 357-1770(801) 357-1779 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2025, Feb 28, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Benjamin Nordby M.d. NPPES

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

BENJAMIN NORDBY M.D. (NPI 1972765402) is an individual family medicine provider in Provo, Utah, licensed in Utah (7724308-1205) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1972765402

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBENJAMIN NORDBYCredential: M.D.

Location Address395 W COUGAR BLVD STE 205Provo, UT 84604-3328

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-1770

Phone(801) 357-1770

Fax(801) 357-1779

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJune 26, 2008

Last NPPES UpdateJune 4, 20254 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1972765402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 7724308-1205

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

395 W COUGAR BLVD STE 205, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Benjamin Nordby 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 ID2769661412

PECOS Enrollment IDI20110126001013, I20220425001460

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

Medicare enrollment records show Benjamin Nordby reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc

Same address

Family

395 W COUGAR BLVD STE 802
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1083411797 (801) 357-0260

Mercy Physician Associates, Inc

1,001 mi

Rural Health

402 SIEGEL ST
Tama, IA 52339

Reassigned Medicare billing, Iowa enrollment
108 clinicians in this Medicare group

NPI 1154490779 (641) 484-3333

Mercy Care Management, Inc

1,046 mi

Family Medicine

2815 EDGEWOOD RD SW
Cedar Rapids, IA 52404

Reassigned Medicare billing, Iowa enrollment
60 clinicians in this Medicare group

NPI 1306042890 (319) 369-4798

Optum Urgent Care, PLLC

1,992 mi

Urgent Care

555 N BROADWAY
Jericho, NY 11753

Reassigned Medicare billing, New York enrollment
413 clinicians in this Medicare group

NPI 1285975797 (516) 622-6000

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 10

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

147 services140 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

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.

43 services43 patients

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.

36 services36 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

26 services13 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160079

Location701 10th Street SECedar Rapids, IA 52403 · Linn County

Emergency services Birthing friendly

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

$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 18

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

MS. JESSICA C NEWBERRY FNP

Nurse Practitioner (Family)