STEVEN M THACKERAY (M.D.) – Obstetrics & Gynecology Physician, NPI 1407813959

STEVEN M THACKERAY (M.D.) is a healthcare provider. based in Murray, Utah. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 3085308-1205 (UT). The NPI Number for STEVEN M THACKERAY (M.D.) is 1407813959

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN M THACKERAY (M.D.)
NPI
1407813959
Phone
(801) 507-1950
Address
5063 S COTTONWOOD ST #400
Enumeration Date
27 April 2006
Last Update Date
14 March 2011

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
3857581920
Graduation Year
1996 (30 years ago)
PAC ID
0941112593
Group Practice PAC ID
9335432368
Professional Enrollment ID
I20031103000275
Address ID
UT841075876MU291XX5400300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

357 OBSTETRICS/GYNECOLOGY in UT

Provider Addresses for STEVEN M THACKERAY (M.D.)

  • 5063 S COTTONWOOD ST #400

    STEVEN M.THACKERAY, M.D.

    MURRAY, UT 84107

    Phone: (801) 507-1950

    Fax: (801) 507-1951

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($89).

Total Amount

$331

General + Research + Ownership

Payments

17

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031103000275IObstetrics/GynecologyUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335432368View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YUT
O B S T E T R I C S/ G Y N E C O L O G YUT
O B S T E T R I C S/ G Y N E C O L O G YUT
O B S T E T R I C S/ G Y N E C O L O G YUT
O B S T E T R I C S/ G Y N E C O L O G YUT
-UT
O B S T E T R I C S/ G Y N E C O L O G YUT
-UT

Reviews

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Frequently asked questions

Can I verify STEVEN M THACKERAY (M.D.) with an NPI only?
You can start verification with NPI 1407813959 for STEVEN M THACKERAY (M.D.), then check state licensing separately.
Does the file indicate STEVEN M THACKERAY (M.D.) is practicing under active NPI?
Directory data currently reports STEVEN M THACKERAY (M.D.) as active.
What is STEVEN M THACKERAY (M.D.) best known for clinically?
Directory data describes STEVEN M THACKERAY (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does STEVEN M THACKERAY (M.D.) list a practice location?
Patients near Murray, Utah may find STEVEN M THACKERAY (M.D.) in results; validate coverage separately.
Is the information about STEVEN M THACKERAY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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