Doctor profile · Federal record
Dr. Sara Cicmanec
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
- NPI 1891011375
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
389 S 900 E, Intermountain Salt Lake Clinic
Salt Lake City, UT 841022310
(385) 282-2650
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- July 15, 2014
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Utah #8137257-1205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891011375. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
344
Distinct HCPCS
10
Medicare allowed
$28,105
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 96 | 72 | $53 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 79 | 79 | $123 | |
G0008 |
Administration of influenza virus vaccine | 30 | 30 | $29 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 28 | 28 | $76 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $86 | |
90739 |
Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use | 24 | 23 | $154 | |
G0010 |
Administration of hepatitis b vaccine | 22 | 21 | $28 | |
90480 |
Admn sarscov2 vacc 1 dose | 13 | 13 | $39 | |
91320 |
Sarscv2 vac 30mcg trs-suc im | 13 | 13 | $128 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $122 |
In context: peer comparison
Among 55 peers in this city , average services per provider: 81. This provider delivers 4.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,981
Patients
613
Total drug cost
$38,859
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Rosuvastatin Calcium | Generic | 283 | 88 | $6,104 |
| Levothyroxine Sodium | Generic | 202 | 65 | $4,540 |
| Losartan Potassium | Generic | 179 | 56 | $3,218 |
| Atorvastatin Calcium | Generic | 173 | 60 | $2,878 |
| Lisinopril | Generic | 171 | 55 | $2,041 |
| Amlodipine Besylate | Generic | 158 | 50 | $1,818 |
| Omeprazole | Generic | 133 | 43 | $2,647 |
| Gabapentin | Generic | 117 | 34 | $4,225 |
| Zolpidem Tartrate | Generic | 94 | 17 | $988 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 87 | 29 | $1,652 |
Hospital affiliations
Frequently asked questions
What is Dr. Sara Cicmanec's medical specialty?
Dr. Sara Cicmanec practices Internal Medicine Physician in Salt Lake City, UT.
Where does Dr. Sara Cicmanec practice?
Dr. Sara Cicmanec practices at 389 S 900 E, Salt Lake City, UT 841022310. Office phone: 3852822650.
What is Dr. Sara Cicmanec's NPI?
Dr. Sara Cicmanec's National Provider Identifier (NPI) is 1891011375, issued by NPPES.
Does Dr. Sara Cicmanec accept Medicare assignment?
Yes. Dr. Sara Cicmanec accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sara Cicmanec commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Administration of influenza virus vaccine (HCPCS G0008). Source: CMS Medicare Physician & Other Practitioners file.