Doctor profile · Federal record
Dr. JACK STEPHENS, M.D.
Internal Medicine Physician (CMS: INTERNAL MEDICINE) · Internal Medicine Physician · Internal Medicine Physician · OGDEN, UT
- NPI 1073991915
- Accepts Medicare
- 11 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4401 HARRISON BLVD
OGDEN, UT 84403
(801) 387-3709
fax (801) 387-3725 - Mailing address
-
6140 SHARON CIR
OGDEN, UT 844035008
Credentials & registration
- NPI registered
- May 2015 — 11 yrs on file
- Profile last updated
- June 21, 2018
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (3)
- Utah #10476493-1205 · Arizona #R74955 · Utah #10476493-8905
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073991915. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
143
Distinct HCPCS
2
Medicare allowed
$18,787
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 121 | 120 | $125 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 22 | 22 | $166 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 134. This provider delivers 1.1× the peer median.