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Active NPI 1083855720 Individual Practitioner Male Practitioner

Dr. Jeffrey David Poulsen , MD

Anesthesiology • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Poulsen, MD is a certified Anesthesiology practicing in Provo, UT. With approximately 20 years of clinical experience since graduating from Georgetown University School Of Medicine in 2006, Dr. Poulsen delivers high-quality medical care to the local community at 1034 N 500 W.

Dr. Poulsen maintains professional affiliations with Cep America - Anesthesia Pc, Mountain West Anesthesia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of artery tube for blood sampling or infusion through skin, injections of local anesthetic for pain control and abdominal wall analgesia on both sides, ultrasonic guidance imaging supervision and interpretation for insertion of needle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013577850
Associated Practice Facility / Clinic
🏢 Ihc Health Services, Inc Facility NPI 1235189002

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Provo, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +0.2 yrs vs City Avg
City Avg: 19.8 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Provo, UT (687 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Poulsen (20 Years) 20 Yrs
Provo Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin
15 15 $297.00 $42.16
64488 Injections of local anesthetic for pain control and abdominal wall analgesia on both sides
13 13 $693.00 $65.66
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
11 11 $99.00 $28.78

Medical Specialties & State Licenses

CMS Verified: 2025-06-04
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License OR MD222767

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License UT 7656910-1205

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Mountain West Anesthesia Llc

1034 N 500, Provo, UT 846043380

Phone: 8013577850

Mountain West Anesthesia Llc

765 E Marker Place Dr, Spanish Fork, UT 846601396

Phone: 3853445000

Mountain West Anesthesia Llc

150 W Civic Ctr Dr, Sandy, UT 840704284

Phone: 8017272056

Cep America - Anesthesia Pc

2700 Nw Stewart Pkwy, Roseburg, OR 974711281

Phone: 5416730611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013177328

Doctor of Medicine (M.D.)

Darby Herrmann , OTR, L

Occupational Therapist

NPI 1013636182

Occupational Therapist Registered, L

Amber Marsh , FNP-C

Nurse Practitioner - Adult Health

NPI 1023575172

Family Nurse Practitioner (Certified)

Andrew Clark , OTR, L

Occupational Therapist

NPI 1023884731

Occupational Therapist Registered, L

Abbey Barrus , CCC-SLP

Speech-Language Pathologist

NPI 1043088545

Speech-Language Pathologist (Certificate of Clinical Competence)

Jacie Saltzman

Physical Therapist

NPI 1053702985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2012

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577850)

📍
Updated Business Mailing Address February 01, 2012

Registered at 3340 N CENTER ST # 800, LEHI, UT 840437406 (Tel: 8019901911)

👤
Provider Name / Credentials Updated February 01, 2012

Recorded as JEFFREY POULSEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Anesthesiology (License #7656910-1205 in UT)

🟢
Initial NPI Registration & Enumeration March 10, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083855720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2009
Last Update: June 04, 2025
Sole Proprietor: Yes

Mailing Address

3340 N Center St # 800

Lehi, UT 840437406

Phone: 8019901911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.