Doctor profile · Federal record

Dr. Jeffrey Poulsen, MD

Anesthesiology Physician (CMS: Anesthesiology) · Anesthesiology Physician · Student in an Organized Health Care Education/Training Program · Provo, UT

  • NPI 1083855720
  • Accepts Medicare
  • MIPS 79.7 / 100 · 2023
  • 20 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1034 N 500 W
Provo, UT 846043380
(801) 357-7850
Mailing address
3340 N Center St # 800
Lehi, UT 840437406

Credentials & registration

NPPES · NUCC
NPI registered
March 2009 — 17 yrs on file
Profile last updated
June 4, 2025
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
207L00000X — NUCC code
State licenses (2)
Oregon #MD222767 · Utah #7656910-1205

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1083855720. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
27
Distinct HCPCS
2
Medicare allowed
$2,330
HCPCS Description Services Patients Avg allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 14 13 $126
36620 Insertion of artery tube for blood sampling or infusion through skin 13 13 $44

In context: peer comparison

Among 16 peers in this city , average services per provider: 16. This provider delivers 1.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$30
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Chiesi USA, Inc. 2 $29.96

By nature of payment

Food and Beverage
$30

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jeffrey Poulsen's medical specialty?
Dr. Jeffrey Poulsen practices Anesthesiology Physician in Provo, UT.
Where does Dr. Jeffrey Poulsen practice?
Dr. Jeffrey Poulsen practices at 1034 N 500 W, Provo, UT 846043380. Office phone: 8013577850.
What is Dr. Jeffrey Poulsen's NPI?
Dr. Jeffrey Poulsen's National Provider Identifier (NPI) is 1083855720, issued by NPPES.
Does Dr. Jeffrey Poulsen accept Medicare assignment?
Yes. Dr. Jeffrey Poulsen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeffrey Poulsen commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Insertion of artery tube for blood sampling or infusion through skin (HCPCS 36620). Source: CMS Medicare Physician & Other Practitioners file.