Doctor profile · Federal record
Dr. DESERAE GOBLE, MD
Family Medicine Physician (CMS: FAMILY PRACTICE) · Family Medicine Physician · LOGAN, UT
- NPI 1366415770
- Accepts Medicare
- 29 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1451 N 200 E STE 250
LOGAN, UT 843417570
(435) 363-7853
fax (435) 213-3785 - Mailing address
-
1950 S HIGHWAY 89
PERRY, UT 843024119
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- August 31, 2021
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Utah #5010200-1205 · California #A93148
- Medicaid
- UT #1366415770
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366415770. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
137
Distinct HCPCS
3
Medicare allowed
$14,986
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 72 | 34 | $112 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 17 | $80 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 57. This provider delivers 2.4× the peer median.Open Payments
Industry payments received
All-time total
$31
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 1 | $15.89 | |
| ABBVIE INC. | 1 | $15.24 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,170
Patients
350
Total drug cost
$18,685
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 165 | 50 | $3,750 |
| Zolpidem Tartrate | Generic | 104 | 12 | $741 |
| Atorvastatin Calcium | Generic | 91 | 27 | $1,303 |
| Lisinopril | Generic | 91 | 29 | $660 |
| Potassium Chloride | Generic | 83 | 26 | $2,299 |
| Pantoprazole Sodium | Generic | 80 | 20 | $1,842 |
| Amlodipine Besylate | Generic | 79 | 25 | $690 |
| Rosuvastatin Calcium | Generic | 75 | 25 | $1,774 |
| Omeprazole | Generic | 69 | 32 | $1,185 |
| Losartan Potassium | Generic | 67 | 24 | $1,438 |