DR. MICHAEL OWEN MEASOM (M.D.) – Psychiatry Physician, NPI 1861479701

DR. MICHAEL OWEN MEASOM (M.D.) is a healthcare provider. based in Slc, Utah. specializing in PSYCHIATRY, ADDICTION MEDICINE. They hold the professional credentials M.D.. They hold a License No. 264307-1205 (UT). The NPI Number for DR. MICHAEL OWEN MEASOM (M.D.) is 1861479701

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL OWEN MEASOM (M.D.)
NPI
1861479701
Phone
(801) 483-2447
Address
265 E 100 S STE 250
Enumeration Date
30 December 2005
Last Update Date
10 May 2018

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8014832447
Graduation Year
1989 (37 years ago)
PAC ID
4385661388
Group Practice PAC ID
0749247849
Professional Enrollment ID
I20051028000675
Address ID
UT841111643SA265XX100X301
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

256 PSYCHIATRY in UT

Provider Addresses for DR. MICHAEL OWEN MEASOM (M.D.)

  • 265 E 100 S STE 250

    SLC, UT 841111643

    Phone: (801) 483-2447

    Fax: (801) 486-8705

    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 990 Open Payments records for all available years, with a total value of $711,529.

Total Amount is formed as General ($711,529) + Research ($0) + Ownership ($0) = $711,529.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($193,421).

Total Amount

$711,529

General + Research + Ownership

Payments

990

Total payment records

General Amount

$711,529

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2005-10-28

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
I20051028000675IPsychiatryUTTBD

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 84111)

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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: 0749247849View full group profile
NameSpecialtyState
-UT
Clinical PsychologistUT
Nurse PractitionerUT
Clinical PsychologistUT
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical Social WorkerMI
Nurse PractitionerUT
Clinical Social WorkerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is DR. MICHAEL OWEN MEASOM (M.D.)'s NPI number?
DR. MICHAEL OWEN MEASOM (M.D.)'s NPI is 1861479701 — the number used across U.S. healthcare to identify this provider.
Would DR. MICHAEL OWEN MEASOM (M.D.) appear as active to a payer?
You can treat DR. MICHAEL OWEN MEASOM (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MICHAEL OWEN MEASOM (M.D.)?
At a glance, DR. MICHAEL OWEN MEASOM (M.D.) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL OWEN MEASOM (M.D.) associated with Slc?
Public fields place DR. MICHAEL OWEN MEASOM (M.D.) around Slc, Utah. Always confirm the exact site before visiting.
Does DR. MICHAEL OWEN MEASOM (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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