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STANTON MCDONALD M.D.
NPI 1982636890
Family Medicine in Heber City, UT

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
345 W 600 S STE 120, HEBER CITY, UT 84032(435) 654-1501(435) 654-2030 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stanton Mcdonald M.d. NPPES

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

STANTON MCDONALD M.D. (NPI 1982636890) is an individual family medicine provider in Heber City, Utah, licensed in Utah (160908-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Heber Valley Hospital, and is a graduate of University Of Utah School Of Medicine (1976).

NPPES Registry Identity

NPI1982636890
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTANTON MCDONALDCredential: M.D.
Location Address345 W 600 S STE 120Heber City, UT 84032-2283
Mailing AddressPo Box 247Heber City, UT 84032-0247 · (435) 654-1501 · Fax (435) 654-2030
Phone(435) 654-1501
Fax(435) 654-2030
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1976
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
✔ NPI 1982636890 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 · 160908-1205
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.
345 W 600 S STE 120, Heber City, UT 84032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.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

Stanton Mcdonald 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 ID749208593
PECOS Enrollment IDI20051109001156
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

2

Medicare enrollment records show Stanton Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stanton Mcdonald, MD PC
Same address
Family Medicine
345 W 600 S STE 120
Heber City, UT 84032
  • Reassigned Medicare billing, Utah enrollment
NPI 1497930200 (435) 654-1501
Ihc Health Services
1.3 mi
Multi-Specialty
1473 S HIGHWAY 40, SUITE E
Heber City, UT 84032
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1225153802 (801) 442-1400

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 6

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.
186 services62 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
92 services47 patients
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.
89 services44 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
28 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461307
Location454 East Medical WayHeber City, UT 84032 · Wasatch County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84032 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$104.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers20 claims20 services$182.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

STANTON MCDONALD, MD PC
Family Medicine
345 W 600 S STE 120
HEBER CITY, UT 84032
Wasatch County (435) 654-1501

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 Stanton Mcdonald's NPI number?

The NPI number for Stanton Mcdonald is 1982636890. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Stanton Mcdonald located?

Stanton Mcdonald practices at 345 W 600 S Ste 120, Heber City, UT 84032. The listed phone number is (435) 654-1501.

What is Stanton Mcdonald's specialty?

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

Is Stanton Mcdonald enrolled in Medicare?

Yes. Stanton Mcdonald 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 Stanton Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanton Mcdonald reassigns Medicare benefits to 2 organizations: Stanton Mcdonald, MD PC (Heber City, UT) and Ihc Health Services (Heber City, UT). 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 Stanton Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stanton Mcdonald accept?

Health plans from Select Health and University of Utah Health Plans list Stanton Mcdonald 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.

Is Stanton Mcdonald affiliated with any hospitals?

According to CMS data, Stanton Mcdonald is affiliated with Heber Valley Hospital.

When was this NPI record last updated?

The NPPES record for Stanton Mcdonald was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.