Active NPI 1871594002 Individual Practitioner Male Practitioner

Thomas Michael Denhalter , RN, MSN, FNP-C

Nurse Practitioner • Cedar City, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Denhalter, RN, MSN, FNP-C is a certified Nurse Practitioner practicing in Cedar City, UT. With approximately 25 years of clinical experience since completing medical education in 2001, Thomas Denhalter delivers high-quality medical care to the local community at 1303 N MAIN ST.

Thomas Denhalter is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with tracing, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1303 N Main St
Suite H

Cedar City, UT 847219746

Telephone 4358685570

Associated Practice Facility / Clinic

🏢 Pathology Services Pc Facility NPI 1992777601

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cedar City, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +17.0 yrs vs City Avg

City Avg: 8.0 Yrs

State Avg: 8.4 Yrs

Regional Practice Density

20 Specialists

Practicing in Cedar City, UT (1143 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Denhalter (25 Years) 25 Yrs

Cedar City Specialty Average (8.0 Years) 8.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	625	383	$289.00	$103.41
99213 Established patient office or other outpatient visit, typically 15 minutes	75	71	$205.00	$73.26
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	66	60	$20.00	$5.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	47	$405.00	$145.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$254.00	$89.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	696	419	$204.16	$103.33
99213 Established patient office or other outpatient visit, typically 15 minutes	65	60	$141.54	$73.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	39	$286.00	$142.87
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	47	42	$20.00	$5.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$179.00	$90.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	610	367	$175.34	$104.38
99213 Established patient office or other outpatient visit, typically 15 minutes	92	90	$123.22	$73.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	39	$244.07	$147.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$176.86	$91.31
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	18	18	$51.00	$17.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	307	$171.00	$106.42
99213 Established patient office or other outpatient visit, typically 15 minutes	83	81	$116.00	$74.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$232.00	$149.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$173.00	$92.17
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	13	13	$51.00	$18.18
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	12	12	$51.00	$17.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	521	359	$171.00	$89.78
99213 Established patient office or other outpatient visit, typically 15 minutes	57	56	$114.81	$60.17
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	51	47	$16.94	$8.00
99442 Telephone medical discussion with physician, 11-20 minutes	36	32	$42.00	$41.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$173.00	$86.64
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	17	17	$50.00	$18.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	875	563	$171.00	$90.36
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	51	42	$18.00	$8.09
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$116.00	$60.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$173.00	$90.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	638	385	$170.00	$88.78
99213 Established patient office or other outpatient visit, typically 15 minutes	163	147	$115.00	$60.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$173.00	$89.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	179	$115.00	$59.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	163	$170.00	$88.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$173.00	$89.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$69.00	$35.58
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	18	18	$43.00	$18.68
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$16.00	$7.59
93280 Programming of dual lead pacemaker system	11	11	$115.00	$48.11

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 8583872-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AZ AP2158

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

966195 (AZ)

Commercial Insurance / Payer ID Tax-Id

86-0338466 (AZ)

Commercial Insurance / Payer ID Railroad Medicare

P00458986 (AZ)

Hospital & Practice Group Affiliations

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

1303 N Main St, Cedar City, UT 847219746

Ihc Health Services Inc

200 N 400, Panguitch, UT 847590389

Phone: 4355866962

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jeffery Bleazard , MD

Emergency Medicine - Emergency Medical Services

NPI 1003836024

Doctor of Medicine (M.D.)

Sarah Heaton , PA-C, MPAS

Physician Assistant

NPI 1013297142

Physician Assistant (Certified), MPAS

Barbara Spencer , OTR

Occupational Therapist

NPI 1013429109

Occupational Therapist Registered

Stacie Carbine

Physician Assistant

NPI 1023278728

Sara Fausett , RDN

Dietitian, Registered

NPI 1023416138

Registered Dietitian Nutritionist

Dyllan Almond , APRN, FNP-C

Nurse Practitioner - Family

NPI 1023656592

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2013

Registered at 1303 N MAIN ST, SUITE H, CEDAR CITY, UT 847219746 (Tel: 4358685570)

📍

Updated Business Mailing Address September 04, 2013

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

👤

Provider Name / Credentials Updated September 04, 2013

Recorded as THOMAS DENHALTER, RN, MSN, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Nurse Practitioner (License #8583872-4405 in UT)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Nurse Practitioner (License #AP2158 in AZ)

🟢

Initial NPI Registration & Enumeration August 10, 2005

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: 1871594002

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2005

Last Update: September 04, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.