Douglas N Esplin, MD - Medicare Family Practice in Herriman, UT

Douglas N Esplin, MD is a medicare enrolled "Family Medicine" physician in Herriman, Utah. He went to University Of Utah School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 5541 W 13400 S, Herriman, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 752-1010.

Douglas N Esplin is licensed to practice in Utah (license number 275543-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063421451.

Contact Information

Douglas N Esplin, MD
5541 W 13400 S,
Herriman, UT 84096-5640
(435) 752-1010
Not Available

Map and Direction




Physician's Profile

Full NameDouglas N Esplin
GenderMale
SpecialityFamily Practice
Experience24 Years
Location5541 W 13400 S, Herriman, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas N Esplin attended and graduated from University Of Utah School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1063421451
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 11/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9234034810
  • Enrollment ID: I20031205000467

Medical Identifiers

Medical identifiers for Douglas N Esplin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063421451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 275543-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverton HospitalRiverton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas N Esplin allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas N Esplin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas N Esplin, MD
5541 W 13400 S,
Herriman, UT 84096-5640

Ph: (435) 752-1010
Douglas N Esplin, MD
5541 W 13400 S,
Herriman, UT 84096-5640

Ph: (435) 752-1010

Reviews and Comments


Family Medicine Doctors in Herriman, UT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.