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Provider record · NPI 1669452298 · active

CUSTOM MEDICAL SERVICES

Adolescent Medicine (Family Medicine) Physician in ROOSEVELT, Utah

Record

NPI
1669452298
Type
Organization (NPI-2)
Specialty
Adolescent Medicine (Family Medicine) Physician (207QA0000X)
Practice location
ROOSEVELT UT 84066
Practice phone
4357227704
Affiliated with
CUSTOM MEDICAL SERVICES OBGYN
Last updated
2025-09-11

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Contact details

Work email
Not on file
Home address
Not matched
Cell phone
Not matched

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Leadership on file

1 named leadership contact on file, by role:

Executive
1

Executives, officers and owners as public filings name them, with the title each filing gives them. Leadership across US healthcare, by role.

What they bill and prescribe

The procedures this provider billed Medicare for, code by code, and the drugs they prescribed under Part D — from published Medicare data for 2024, for signed-in customers. Search can be filtered on either by name, so “knee replacement” and “Eliquis” are queries rather than codes.

Published Medicare fee-for-service data for 2024, covering about one in seven clinicians nationally, and more in the specialties that bill it most — not all-payor claims, and low-volume providers are removed before publication. A provider with nothing published has no published Medicare volume, which covers no volume, volume below the publication threshold and not billing Medicare at all — the published data does not separate them. Provider-level aggregates only; nothing patient-level exists here. What it covers.

Also in the record

Group affiliations and employers, facility ownership, programme standing and licence detail appear here for signed-in customers.

FAQ

About CUSTOM MEDICAL SERVICES

Who runs CUSTOM MEDICAL SERVICES?

1 named leadership contact is on file (executive 1). Names and titles are available to signed-in customers.

Reach the people behind CUSTOM MEDICAL SERVICES

An NPI is an identifier, not a credential: it says this provider is enumerated, not that they are licensed or in good standing today.

CUSTOM MEDICAL SERVICES · NPI 1669452298 · NPI Mark