MICHAEL GAGON (MPT) – Physical Therapist, NPI 1700807484

MICHAEL GAGON (MPT) is a healthcare provider. based in Price, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 292947-2401 (UT). The NPI Number for MICHAEL GAGON (MPT) is 1700807484

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL GAGON (MPT)
NPI
1700807484
Phone
(435) 613-1500
Address
PO BOX 933
Enumeration Date
21 July 2006
Last Update Date
11 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356131500
Graduation Year
1999 (27 years ago)
PAC ID
9335120773
Group Practice PAC ID
5193706539
Professional Enrollment ID
I20040601000341
Address ID
UT845254542GR355XX175X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

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Provider Addresses for MICHAEL GAGON (MPT)

  • PO BOX 933

    PRICE, UT 845010933

    Phone: (435) 613-1500

    Fax: (435) 613-1501

    Type: Mailing

  • 590, East 100 North, Price, Carbon County, Utah, 84501, United States

    SUITE 1

    PRICE, UT 845012640

    Phone: (435) 613-1500

    Fax: (435) 613-1501

    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: 2004-06-01

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
I20040601000341IPhysical Therapist In Private PracticeUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4,325113$0
97140Therapy procedure using manual technique, each 15 minutes55364$0
97032Application of electrical stimulation with therapist present, each 15 minutes40931$0
97530Therapy procedure using functional activities19616$0
97161Evaluation for physical therapy, typically 20 minutes9088$0
View full utilization report →

Insurance plans in this area (ZIP 84501)

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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: 5193706539View full group profile
NameSpecialtyState
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What is the registry number for MICHAEL GAGON (MPT)?
The registry entry for MICHAEL GAGON (MPT) shows NPI 1700807484.
Does the public listing show MICHAEL GAGON (MPT) as active?
MICHAEL GAGON (MPT)'s NPI record reflects an active status in NPPES.
Which specialty label fits MICHAEL GAGON (MPT)?
NPPES ties MICHAEL GAGON (MPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL GAGON (MPT)?
MICHAEL GAGON (MPT) is associated with Price, Utah in the same public data insurers reference.
Can I export MICHAEL GAGON (MPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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