St. George Metro Treatment Center – Methadone Clinic, NPI 1700092236
Methadone Clinic
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for St. George Metro Treatment Center
620 SOUTH 400 EAST, SUITE 404
ST GEORGE, UT 847707065
Phone: (435) 656-8918
Fax: (435) 656-8917
Type: Location
2500 MAITLAND CENTER PKWY STE 250
MAITLAND, FL 327514174
Phone: (407) 351-7080
Fax: (407) 351-6930
Type: Mailing
1492 S SILICON WAY
ST GEORGE, UT 847707155
Phone: (407) 351-7080
Fax: (407) 351-6930
Type: Location
2500, Maitland Center Parkway, Maitland, Orange County, Florida, 32751, United States
SUITE 250
MAITLAND, FL 327514174
Phone: (407) 351-7080
Fax: (407) 351-6930
Type: Mailing
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.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (40 days ago).
Enrollment records
1
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20191218001303 | O | Opioid Treatment Program (Otp) | UT | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm | 203 | 11 | $0 |
Insurance plans in this area (ZIP 84770)
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