Doctor profile · Federal record

Dr. Kenneth Libre, M.D.

Family Medicine Physician (CMS: Emergency Medicine) · Alta, UT

  • NPI 1801873534
  • 32 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
10160 E Highway 210, Suite 1, Goldminer's Daughter Lodge
Alta, UT 840928072
(801) 742-2273
Mailing address
Po Box 8072
Alta, UT 840928072

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
December 21, 2012
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Utah #328690-1205

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1801873534. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
13
Distinct HCPCS
1
Medicare allowed
$1,960
HCPCS Description Services Patients Avg allowed
99204 New patient office or other outpatient visit, 45-59 minutes 13 13 $151

In context: peer comparison

Among 1 peers in Alta Family Medicine Physician, average services per provider: 13. This provider delivers 1.0× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Kenneth Libre's medical specialty?
Dr. Kenneth Libre practices Family Medicine Physician in Alta, UT.
Where does Dr. Kenneth Libre practice?
Dr. Kenneth Libre practices at 10160 E Highway 210, Alta, UT 840928072. Office phone: 8017422273.
What is Dr. Kenneth Libre's NPI?
Dr. Kenneth Libre's National Provider Identifier (NPI) is 1801873534, issued by NPPES.
Does Dr. Kenneth Libre accept Medicare assignment?
Dr. Kenneth Libre does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Kenneth Libre commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.