Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962505750 Individual Practitioner Male Practitioner

Dr. Carl William Bacon , MD

Orthopaedic Surgery • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Carl Bacon, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Provo, UT. Practice services are available at 1055 N 500 W under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Suite 121

Provo, UT 846043305

Telephone 8013737350
Fax 8018125401
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Provo, UT (277 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
194 30 $3.09 $1.11
99213 Established patient office or other outpatient visit, typically 15 minutes
66 49 $147.88 $87.05
73502 X-ray of hip, 2-3 views
24 20 $83.92 $27.64
72100 X-ray of lower and sacral spine, 2-3 views
20 16 $114.70 $36.19
73552 X-ray of thigh bone, minimum 2 views
20 14 $74.75 $24.83
27245 Treatment of broken neck of thigh bone with bone implant
19 19 $2834.00 $1179.05
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement
12 12 $2647.25 $1147.70

Medical Specialties & State Licenses

CMS Verified: 2020-03-20
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License UT 181471-1205

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ihc
107007443103 (UT)
Commercial Insurance / Payer ID Pehp
68078 (UT)
Commercial Insurance / Payer ID Utah Healthcare
09-00096 (UT)
Commercial Insurance / Payer ID Palmetto
20045128 (UT)
Commercial Insurance / Payer ID Emia
870281028BAC (UT)

Practice Associates & Co-Workers

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

35 Associated Practitioners
Dr. Scott Evans , MD

Orthopaedic Surgery - Hand Surgery

NPI 1033435045

Doctor of Medicine (M.D.)

Dr. Evan Nielsen , MD

Orthopaedic Surgery

NPI 1043527260

Doctor of Medicine (M.D.)

Zachary Golden , PA

Physician Assistant

NPI 1053856542

Physician Assistant

Dr. Bradford Matthews , MD

Orthopaedic Surgery

NPI 1063523959

Doctor of Medicine (M.D.)

Eric Leach , PA-C

Physician Assistant

NPI 1124068739

Physician Assistant (Certified)

Dr. Jeffrey Wallentine , MD

Orthopaedic Surgery

NPI 1124121934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2010

Registered at 1055 N 500 W, SUITE 121, PROVO, UT 846043305 (Tel: 8013737350)

📍
Updated Business Mailing Address January 11, 2010

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8014298000)

👤
Provider Name / Credentials Updated January 11, 2010

Recorded as CARL BACON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2010

Orthopaedic Surgery (License #181471-1205 in UT)

🟢
Initial NPI Registration & Enumeration September 07, 2006

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: 1962505750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

Phone: 8013548225

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.