Active NPI 1164494076 Individual Practitioner Male Practitioner

Michael I Munford

Surgery • Cedar City, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Munford is a certified Surgery practicing in Cedar City, UT. With approximately 33 years of clinical experience since graduating from University Of Utah School Of Medicine in 1993, Michael Munford delivers high-quality medical care to the local community at 1251 NORTHFIELD RD.

Michael Munford accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1251 Northfield Rd
Ste 202

Cedar City, UT 847218623

Telephone 4358670300

Fax 4358670331

Associated Practice Facility / Clinic

🏢 Premier Pediatrics Llc Facility NPI 1427115187

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cedar City, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +10.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Cedar City, UT (278 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Munford (33 Years) 33 Yrs

Cedar City Specialty Average (23.0 Years) 23.0 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	72	71	$823.00	$222.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$425.00	$147.98
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	43	43	$505.00	$157.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	37	37	$505.00	$157.18
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$174.00	$80.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$375.00	$96.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$518.00	$148.43
49505 Repair of groin hernia (5 years or older)	18	17	$1402.83	$470.83
45378 Diagnostic exam of large bowel using a flexible endoscope	14	13	$650.00	$147.11
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$387.00	$91.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$323.00	$113.54
45380 Biopsy of large bowel using an endoscope	12	12	$690.00	$161.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	76	76	$823.00	$240.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$425.00	$158.68
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	56	56	$505.00	$174.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$375.00	$113.30
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$505.00	$173.83
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$174.00	$85.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$518.00	$166.51
45380 Biopsy of large bowel using an endoscope	14	14	$690.00	$127.72
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$387.00	$97.97
49505 Repair of groin hernia (5 years or older)	13	13	$1431.23	$519.98
47562 Removal of gallbladder using an endoscope	11	11	$1744.27	$630.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$417.52	$160.55
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	53	53	$505.00	$176.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	53	52	$823.00	$244.54
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	31	31	$505.00	$177.02
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$151.48	$86.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$375.00	$106.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$387.00	$105.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$237.89	$107.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$518.00	$190.11
49505 Repair of groin hernia (5 years or older)	14	14	$1518.86	$544.18
93925 Ultrasound of leg arteries or artery grafts	13	13	$209.62	$157.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$227.91	$108.43
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$142.74	$88.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	47	$823.00	$247.75
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	44	44	$505.00	$178.88
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	41	41	$505.00	$180.66
93925 Ultrasound of leg arteries or artery grafts	38	38	$189.79	$74.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$391.20	$162.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$397.34	$98.40
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$387.00	$90.80
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	14	$180.00	$76.55
45380 Biopsy of large bowel using an endoscope	13	13	$690.00	$168.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$231.00	$104.61
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	47	$823.00	$257.51
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$505.00	$180.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$456.00	$111.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	25	25	$505.00	$182.24
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$131.00	$72.73
45380 Biopsy of large bowel using an endoscope	13	13	$690.00	$144.72
47562 Removal of gallbladder using an endoscope	11	11	$1671.00	$672.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$387.00	$117.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	67	67	$505.00	$181.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$231.00	$102.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$823.00	$253.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$456.00	$119.35
99213 Established patient office or other outpatient visit, typically 15 minutes	18	12	$121.00	$69.58
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$387.00	$97.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	62	62	$505.00	$179.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$231.00	$99.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	46	46	$823.00	$247.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$456.00	$119.79
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$116.00	$66.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$387.00	$107.28
47562 Removal of gallbladder using an endoscope	14	14	$1671.00	$634.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	47	47	$505.00	$174.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$231.00	$98.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	28	$823.00	$244.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$456.00	$121.05
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$387.00	$103.09
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$842.00	$304.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 4880747-1205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Emia

870673778MUN (UT)

Commercial Insurance / Payer ID Pehp

63237 (UT)

Commercial Insurance / Payer ID Bcbs

48807471201001 (UT)

Commercial Insurance / Payer ID Dmba

687379 (UT)

Commercial Insurance / Payer ID Ihc

107004053101 (UT)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Tyler Albrecht , DMD

Dentist - Pediatric Dentistry

NPI 1063530269

Doctor of Dental Medicine

Pegi Butler

Behavior Analyst

NPI 1316317142

Dr. William Albrecht , OD

Optometrist

NPI 1427140417

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2017

Registered at 1251 NORTHFIELD RD, STE 202, CEDAR CITY, UT 847218623 (Tel: 4358670300)

📍

Updated Business Mailing Address April 11, 2017

Registered at 1251 NORTHFIELD RD, SUITE 202, CEDAR CITY, UT 847218622 (Tel: 4358670300)

👤

Provider Name / Credentials Updated April 11, 2017

Recorded as MICHAEL MUNFORD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Surgery (License #4880747-1205 in UT)

📍

Updated Business Mailing Address February 14, 2017

Registered at 1251 NORTHFIELD RD, SUITE 202, CEDAR CITY, UT 847218622 (Tel: 4358670300)

✅

NPI Profile Active August 25, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2010

Registered at 166 W 1325 N, SUITE 350, CEDAR CITY, UT 847207792 (Tel: 4355868192)

📍

Updated Business Mailing Address August 25, 2010

Registered at 166 W 1325 N, SUITE 350, CEDAR CITY, UT 847207792 (Tel: 4355868192)

👤

Provider Name / Credentials Updated August 25, 2010

Recorded as MICHAEL MUNFORD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2010

Surgery (License #4880747-1205 in UT)

🟢

Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164494076

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: April 11, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1251 Northfield Rd, Suite 202

Cedar City, UT 847218622

Phone: 4358670300

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.