Doctor profile · Federal record
Dr. Nickolas Gangwer, D.O.
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Ogden, UT
- NPI 1942610993
- Accepts Medicare
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4403 Harrison Blvd Ste 3875
Ogden, UT 844033332
(801) 387-7950 - Additional location
-
15855 19 Mile RD
Clinton Township, MI 480383504
(586) 263-2300
Credentials & registration
- NPI registered
- April 2014 — 12 yrs on file
- Profile last updated
- March 17, 2018
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Utah #10280090-1204
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942610993. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
861
Distinct HCPCS
10
Medicare allowed
$61,506
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 206 | 173 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 187 | 137 | $121 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 176 | 176 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 90 | 85 | $86 | |
83036 |
Hemoglobin a1c level | 82 | 64 | $9 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 42 | 42 | $54 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 28 | 28 | $76 | |
G0008 |
Administration of influenza virus vaccine | 26 | 26 | $29 | |
90480 |
Admn sarscov2 vacc 1 dose | 12 | 12 | $39 | |
91320 |
Sarscv2 vac 30mcg trs-suc im | 12 | 12 | $128 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 134. This provider delivers 6.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,488
Patients
759
Total drug cost
$96,117
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 284 | 81 | $6,421 |
| Omeprazole | Generic | 257 | 80 | $5,551 |
| Atorvastatin Calcium | Generic | 253 | 85 | $4,109 |
| Lisinopril | Generic | 225 | 68 | $2,889 |
| Losartan Potassium | Generic | 185 | 55 | $3,530 |
| Gabapentin | Generic | 173 | 50 | $7,602 |
| Amlodipine Besylate | Generic | 164 | 56 | $1,999 |
| Simvastatin | Generic | 164 | 47 | $2,256 |
| Metformin Hcl | Generic | 160 | 49 | $2,334 |
| Glimepiride | Generic | 127 | 34 | $3,010 |
Hospital affiliations
Frequently asked questions
What is Dr. Nickolas Gangwer's medical specialty?
Dr. Nickolas Gangwer practices Internal Medicine Physician in Ogden, UT.
Where does Dr. Nickolas Gangwer practice?
Dr. Nickolas Gangwer practices at 4403 Harrison Blvd Ste 3875, Ogden, UT 844033332. Office phone: 8013877950.
What is Dr. Nickolas Gangwer's NPI?
Dr. Nickolas Gangwer's National Provider Identifier (NPI) is 1942610993, issued by NPPES.
Does Dr. Nickolas Gangwer accept Medicare assignment?
Yes. Dr. Nickolas Gangwer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nickolas Gangwer commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.