Active NPI 1942610993 Individual Practitioner Male Practitioner

Dr. Nickolas Gangwer , DO

Internal Medicine • Ogden, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nickolas Gangwer, DO is a certified Internal Medicine practicing in Ogden, UT. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Gangwer delivers high-quality medical care to the local community at 4403 HARRISON BLVD STE 3875.

Dr. Gangwer is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4403 Harrison Blvd Ste 3875

Ogden, UT 844033332

Telephone 8013877950

Associated Practice Facility / Clinic

🏢 Ihc Health Services Inc Facility NPI 1386207835

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ogden, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -6.2 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

41 Specialists

Practicing in Ogden, UT (700 Statewide)

Telehealth Adoption Rate

9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gangwer (12 Years) 12 Yrs

Ogden Specialty Average (18.2 Years) 18.2 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	171	134	$289.00	$121.79
36415 Insertion of needle into vein for collection of blood sample	157	129	$8.00	$7.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$376.00	$121.78
99213 Established patient office or other outpatient visit, typically 15 minutes	78	72	$205.00	$85.58
83036 Hemoglobin A1C level	66	49	$19.00	$9.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	23	22	$36.50	$15.70
G0008 Administration of influenza virus vaccine	11	11	$38.55	$30.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$129.00	$53.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	206	173	$7.95	$7.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	137	$203.65	$121.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	176	$204.00	$122.56
99213 Established patient office or other outpatient visit, typically 15 minutes	90	85	$143.11	$86.04
83036 Hemoglobin A1C level	82	64	$19.00	$9.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	42	$88.00	$53.69
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	28	28	$88.00	$75.81
G0008 Administration of influenza virus vaccine	26	26	$37.69	$29.33
90480 Admn sarscov2 vacc 1 dose	12	12	$55.00	$39.10
91320 Sarscv2 vac 30mcg trs-suc im	12	12	$240.00	$128.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$206.67	$124.73
36415 Insertion of needle into vein for collection of blood sample	202	176	$7.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	144	$174.87	$120.53
83036 Hemoglobin A1C level	122	74	$19.00	$9.11
99213 Established patient office or other outpatient visit, typically 15 minutes	120	103	$122.07	$86.48
G0008 Administration of influenza virus vaccine	46	46	$44.76	$27.87
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	42	42	$89.62	$70.16
J1030 Injection, methylprednisolone acetate, 40 mg	36	14	$12.00	$6.44
81003 Automated urinalysis test	25	22	$10.28	$2.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	14	$43.00	$13.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$74.53	$53.95
0124A Fee covid-19 vac 13 res	18	18	$60.01	$36.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,080	13	$31.00	$19.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	234	$171.00	$123.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$219.00	$127.70
83036 Hemoglobin A1C level	136	81	$19.00	$9.50
99213 Established patient office or other outpatient visit, typically 15 minutes	122	103	$116.00	$88.23
36415 Insertion of needle into vein for collection of blood sample	64	61	$7.00	$3.00
G0008 Administration of influenza virus vaccine	58	58	$34.00	$15.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	24	$43.00	$13.10
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	51	51	$74.00	$63.82
J1030 Injection, methylprednisolone acetate, 40 mg	46	13	$12.00	$5.68
81003 Automated urinalysis test	19	17	$14.47	$2.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$302.12	$152.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,020	12	$31.00	$17.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	463	295	$171.00	$102.43
36415 Insertion of needle into vein for collection of blood sample	261	225	$7.00	$2.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	253	253	$260.00	$111.10
83036 Hemoglobin A1C level	162	100	$18.00	$9.61
99213 Established patient office or other outpatient visit, typically 15 minutes	85	81	$115.95	$71.40
G0008 Administration of influenza virus vaccine	83	81	$33.93	$16.01
90662 Influenza vaccine split virus, preservative free	78	77	$76.29	$60.59
J1030 Injection, methylprednisolone acetate, 40 mg	62	23	$11.90	$6.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	23	$43.00	$13.30
G0009 Administration of pneumococcal vaccine	38	38	$33.00	$16.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$289.00	$165.85
81003 Automated urinalysis test	25	24	$5.00	$2.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$157.00	$119.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$264.00	$160.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$232.00	$142.96
20610 Aspiration and/or injection of fluid from large joint	16	13	$157.00	$57.51
90670 Pneumococcal vaccine for injection into muscle	14	14	$283.00	$223.82

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	401	204	$171.00	$104.98
36415 Insertion of needle into vein for collection of blood sample	201	158	$7.00	$2.84
83036 Hemoglobin A1C level	126	57	$27.00	$9.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$260.00	$114.20
G0444 Annual depression screening, 5 to 15 minutes	112	112	$29.00	$17.57
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$116.00	$71.15
G0008 Administration of influenza virus vaccine	55	55	$33.00	$15.91
90662 Influenza vaccine split virus, preservative free	51	51	$65.84	$54.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$264.00	$162.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$289.00	$165.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	15	$43.00	$16.21
J1030 Injection, methylprednisolone acetate, 40 mg	27	14	$12.00	$6.30
G0009 Administration of pneumococcal vaccine	25	25	$33.00	$15.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$150.50	$111.93
96127 Assessment of emotional or behavioral problems	20	20	$11.00	$4.59
81003 Automated urinalysis test	17	15	$11.00	$2.30
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$118.00	$50.54

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	503	219	$170.00	$102.41
36415 Insertion of needle into vein for collection of blood sample	221	172	$7.00	$2.91
83036 Hemoglobin A1C level	123	59	$27.00	$10.60
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	103	103	$287.00	$166.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$264.00	$153.48
G0008 Administration of influenza virus vaccine	71	71	$32.96	$18.94
G0009 Administration of pneumococcal vaccine	68	68	$32.12	$18.92
90662 Influenza vaccine split virus, preservative free	63	63	$60.98	$52.30
90670 Pneumococcal vaccine for injection into muscle	49	49	$251.71	$198.52
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$115.00	$70.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$262.16	$112.95
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$118.42	$94.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	12	$43.00	$19.61
81003 Automated urinalysis test	15	13	$11.00	$2.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$232.00	$141.40

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	65	49	$170.00	$102.68
36415 Insertion of needle into vein for collection of blood sample	42	38	$7.00	$2.87
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$115.00	$70.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$264.00	$159.58
G0008 Administration of influenza virus vaccine	15	15	$30.00	$23.96
99495 Transitional care management services for problem of at least moderate complexity	12	12	$234.00	$157.29

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License UT 10280090-1204

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

Ihc Health Services Inc

4403 Harrison Blvd, Ogden, UT 844033332

Phone: 8013877950

Secondary Practice Locations

15855 19 Mile Rd

Clinton Township, MI 480383504

Phone: 5862632300

15855 19 Mile Rd

Clinton Township, MI 480383504

Phone: 5862632300

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Jeffrey Call , MD

Internal Medicine

NPI 1093747743

Doctor of Medicine (M.D.)

Carra Brandley , APRN

Nurse Practitioner

NPI 1174539209

Advanced Practice Registered Nurse

Dr. Cory Ferguson , MD

Internal Medicine

NPI 1235349192

Doctor of Medicine (M.D.)

Dr. Caleb Parry , DO

Internal Medicine

NPI 1447980230

Doctor of Osteopathic Medicine (D.O.)

Dr. Clyde Faucett , MD

Internal Medicine

NPI 1689603409

Doctor of Medicine (M.D.)

Dr. Justin Mansfield , MD

Internal Medicine

NPI 1699707059

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2018

Registered at 4403 HARRISON BLVD STE 3875, OGDEN, UT 844033332 (Tel: 8013877950)

📍

Updated Business Mailing Address February 01, 2018

Registered at 4403 HARRISON BLVD STE 3875, OGDEN, UT 844033332

👤

Provider Name / Credentials Updated February 01, 2018

Recorded as NICKOLAS GANGWER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Internal Medicine (License #10280090-1204 in UT)

✅

NPI Profile Active April 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2014

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504 (Tel: 5862632300)

📍

Updated Business Mailing Address April 29, 2014

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504

👤

Provider Name / Credentials Updated April 29, 2014

Recorded as NICKOLAS GANGWER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 29, 2014

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: 1942610993

Entity Type:

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

Enumeration Date: April 29, 2014

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4403 Harrison Blvd Ste 3875

Ogden, UT 844033332

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.