Active NPI 1275593717 Individual Practitioner Male Practitioner

Dr. Gregory L Staker , MD

Pediatrics • Roosevelt, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Staker, MD is a certified Pediatrics practicing in Roosevelt, UT. With approximately 29 years of clinical experience since graduating from University Of Utah School Of Medicine in 1997, Dr. Staker delivers high-quality medical care to the local community at 210 W 300 N 75-3.

Dr. Staker maintains professional affiliations with Uintah Basin Medical Center, Northeastern Utah Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound of heart with color-depicted blood flow, rate, direction and valve function, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 W 300 N 75-3

Roosevelt, UT 84066

Telephone 4357223971

Fax 4357226104

Associated Practice Facility / Clinic

🏢 Northeastern Utah Medical Group Facility NPI 1982664199

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Roosevelt, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs Matches City Avg

City Avg: 29.0 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Roosevelt, UT (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Staker (29 Years) 29 Yrs

Roosevelt Specialty Average (29.0 Years) 29.0 Yrs

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
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	89	86	$380.00	$68.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	31	$217.00	$100.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$434.00	$193.98
99238 Hospital discharge day management, 30 minutes or less	26	25	$163.00	$70.08
94010 Test to measure expiratory airflow and volume	25	25	$74.00	$8.12
99217 Hospital observation care on day of discharge	15	15	$163.33	$69.74
99356 Prolonged inpatient or observation hospital service, first hour	13	11	$203.00	$88.60
99220 Hospital observation care, typically 70 minutes	11	11	$402.00	$175.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	172	163	$374.18	$69.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	31	$215.30	$100.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	31	23	$21.94	$8.14
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	29	29	$187.72	$75.98
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	27	27	$34.63	$14.29
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	27	27	$51.26	$21.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$432.23	$194.05
99238 Hospital discharge day management, 30 minutes or less	15	15	$162.67	$69.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	179	167	$369.00	$73.04
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	29	29	$184.00	$76.90
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	28	28	$50.00	$21.55
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	28	28	$34.00	$14.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$168.84	$104.73
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$116.74	$71.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$221.00	$103.25
99239 Hospital discharge day management, more than 30 minutes	14	12	$232.00	$105.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	207	196	$369.00	$72.75
95165 Professional service for preparation and provision of 1 or more antigens	200	14	$32.00	$13.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	36	$170.82	$105.60
95117 Professional service for multiple injections of allergen	52	12	$26.00	$10.02
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	34	34	$34.00	$14.68
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	34	34	$50.00	$22.05
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	34	34	$184.00	$78.40
99213 Established patient office or other outpatient visit, typically 15 minutes	30	19	$114.80	$71.96
G0008 Administration of influenza virus vaccine	12	12	$57.00	$15.91
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$25.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	250	17	$32.00	$12.01
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	197	187	$359.55	$70.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	28	$166.30	$101.51
95115 Injection of incremental dosages of allergen	65	11	$21.00	$8.05
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	62	59	$20.00	$8.13
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	42	42	$179.93	$76.30
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	42	42	$32.90	$14.21
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	42	42	$48.36	$21.36
99213 Established patient office or other outpatient visit, typically 15 minutes	33	20	$114.55	$68.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	262	215	$20.00	$8.22
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	210	198	$238.00	$62.08
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	166	137	$20.00	$8.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	37	$162.00	$102.45
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	43	42	$170.12	$76.85
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	42	41	$31.00	$14.38
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	42	41	$46.00	$21.42
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$111.50	$69.80
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	20	20	$55.00	$25.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$125.00	$12.68

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 49110821205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License UT 49110821205

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

D3854 (UT)

Commercial Insurance / Payer ID Medicare Group Pin

000006166 (UT)

Hospital & Practice Group Affiliations

Uintah Basin Medical Center

250 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Uintah Basin Medical Center

210 W 300, Roosevelt, UT 840662336

Northeastern Utah Medical Group

210 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Northeastern Utah Medical Group

250 W 300, Roosevelt, UT 840662336

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Shannon Staker , MD

Pediatrics

NPI 1023078045

Doctor of Medicine (M.D.)

Darwin Mckee , PA-C

Physician Assistant

NPI 1023079910

Physician Assistant (Certified)

Lori Teem , FNP

Nurse Practitioner

NPI 1083675649

Family Nurse Practitioner

Dr. John Nolte , MD

Obstetrics & Gynecology

NPI 1194786095

Doctor of Medicine (M.D.)

Dr. Gary White , MD

Family Medicine

NPI 1205897196

Doctor of Medicine (M.D.)

Dr. James White , MD

Physical Medicine & Rehabilitation

NPI 1316908122

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2017

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

📍

Updated Business Mailing Address June 28, 2017

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as GREGORY STAKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Internal Medicine (License #49110821205 in UT)

✅

NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2012

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

📍

Updated Business Mailing Address February 01, 2012

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

👤

Provider Name / Credentials Updated February 01, 2012

Recorded as GREGORY STAKER, MD

🎓

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

Internal Medicine (License #49110821205 in UT)

🟢

Initial NPI Registration & Enumeration March 27, 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: 1275593717

Entity Type:

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

Enumeration Date: March 27, 2006

Last Update: June 28, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

210 W 300 N 75-3

Roosevelt, UT 84066

Phone: 4357223971

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.