Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902809528 Individual Practitioner Male Practitioner

Dr. Kim A. Halladay , DPM

Podiatrist • Tooele, UT

Professional Overview & Biography Verified Profile Summary

Dr. Kim Halladay, DPM is a registered healthcare professional specializing in Podiatrist in Tooele, UT. Practice services are available at 2356 N 400 E under active NPI credentials.

Frequently performed procedures and clinical services include removal of fingernails or toenails, established patient outpatient office visit, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2356 N 400 E
Ste 104

Tooele, UT 840743409

Telephone 4358820711
Fax 4358821778
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Tooele, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Tooele, UT (89 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.1% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
305 187 $95.00 $44.23
99213 Established patient office or other outpatient visit, typically 15 minutes
108 71 $163.00 $72.51
11056 Removal of noncancer thickened skin growth, 2-4 growths
55 45 $135.00 $70.81
11055 Removal of single thickened skin growth
36 30 $113.00 $59.84

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License UT 103966-0501

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dme
0994190001 (UT)
Commercial Insurance / Payer ID Railroad Medicare
480008495 (UT)
Commercial Insurance / Payer ID Altius
QM0000054283 (UT)
Commercial Insurance / Payer ID Ihc
107006704101 (UT)
Commercial Insurance / Payer ID Pehp
2649 (UT)
Commercial Insurance / Payer ID Tricare
870406457 84074 (UT)
Commercial Insurance / Payer ID Dmba
36338 (UT)
Commercial Insurance / Payer ID Emia
870406457 HA1 (UT)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Jesse Yarrington

Physician Assistant

NPI 1013466978
Dr. Blake Beazer , MD

Family Medicine

NPI 1073510012

Doctor of Medicine (M.D.)

Craig Packham , PA-C

Physician Assistant - Medical

NPI 1104920354

Physician Assistant (Certified)

Dr. Sergio Abarca , MD

Family Medicine

NPI 1245238617

Doctor of Medicine (M.D.)

Hayley Baldwin Baldwin , LCSW

Social Worker - Clinical

NPI 1275319733

Licensed Clinical Social Worker

NPI 1598295586

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2010

Registered at 2356 N 400 E, STE 104, TOOELE, UT 840743409 (Tel: 4358820711)

📍
Updated Business Mailing Address December 17, 2010

Registered at 2356 N 400 E, STE 104, TOOELE, UT 840743409 (Tel: 4358820711)

👤
Provider Name / Credentials Updated December 17, 2010

Recorded as KIM HALLADAY, D.P.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2010

Podiatrist (License #103966-0501 in UT)

🟢
Initial NPI Registration & Enumeration May 27, 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: 1902809528
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: December 17, 2010
Sole Proprietor: No

Mailing Address

2356 N 400 E, Ste 104

Tooele, UT 840743409

Phone: 4358820711

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.