DR. GARY VAUGHAN HALVERSEN (M.D.) – Diagnostic Radiology Physician, NPI 1487625869
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
345 DIAGNOSTIC RADIOLOGY in UT
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Provider Addresses for DR. GARY VAUGHAN HALVERSEN (M.D.)
560W 800 N
OREM, UT 840573746
Phone: (801) 225-6424
Fax: (801) 225-1525
Type: Mailing
Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043380
Phone: (801) 225-6246
Fax: (801) 225-1525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100315000445 | I | Diagnostic Radiology | UT | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 289 | 263 | $0 |
| 70450 | Ct scan head or brain without contrast | 159 | 155 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 112 | 107 | $0 |
| 71046 | X-ray of chest, 2 views | 98 | 97 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 71 | 69 | $0 |
Insurance plans in this area (ZIP 84057)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | UT | 71250 | CT scan chest | 24 | 23 |
| DIAGNOSTIC RADIOLOGY | UT | 73562 | X-ray of knee, 3 views | 25 | 23 |
| DIAGNOSTIC RADIOLOGY | UT | 73630 | X-ray of foot, minimum of 3 views | 21 | 19 |
| DIAGNOSTIC RADIOLOGY | UT | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 56 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | NM | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| - | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | UT |
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