JOHN MASARYK MD
NPI 1366404840
Emergency Medicine in Tooele, UT
NPI Status: Active since April 03, 2006
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About JOHN MASARYK
This page provides the complete NPI Profile along with additional information for John Masaryk, a provider established in Tooele, Utah with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1366404840 assigned on April 2006. The practitioner's primary taxonomy code is 207P00000X with license number 176280-1205 (UT). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1366404840
- Provider Name
- JOHN MASARYK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2055 N MAIN ST TOOELE, UT 84074
- Location Phone
- (435) 843-3600
- Mailing Address
- 144 S 500 E 2ND FLOOR SALT LAKE CITY, UT 84102
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2006
- Last Update Date
- 05-04-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 176280-1205
- License State
- UT
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207PE0004X | Allopathic & Osteopathic Physicians | Emergency Medicine | 176280-1205 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 005786102 | MEDICARE ID-TYPE UNSPECIFIED (04) | UT | 2055 N MAIN, TOOELE |
| D26513 | MEDICARE UPIN (02) | UT | |
| 08793 | MEDICAID (05) | UT | |
| 005568607 | MEDICARE ID-TYPE UNSPECIFIED (04) | UT | 1050 E SOUTH TEMPLE, SLC |
Medicare Participation & PECOS Enrollment Status
John Masaryk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 84074 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.41
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.03
- Average New Patient Copayment $21.1
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.35
- Minimum Established Patient Price $17.23
- Maximum Established Patient Price $135.2
- Average Established Patient Copayment $24.08
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.8
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 4 | 0 | 4 | 8 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 0 | 8 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 0 + 8 + 8 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1366404840 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487652608 | MOUNTAIN WEST RADIOLOGY, INC. Organization | Radiology (Diagnostic Radiology) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3646 |
| 1518931344 | ANNETTE S PROCTOR CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1487614962 | DANIEL DUGGLEBY MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1578524633 | BENNION BUCHANAN MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1972565471 | LANCE OWENS MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1922060367 | DAVID PEASE MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1134181233 | ADAM SAPERSTON MD Individual | Emergency Medicine (Emergency Medical Services) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1134181761 | RICHARD THURMAN MD Individual | Emergency Medicine | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1902840002 | DANIEL LEE MARTIN P.A. Individual | Physician Assistant (Medical) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3670 |
| 1629003249 | EMERGENCY PHYSICIANS INTEGRATED CARE Organization | Emergency Medicine (Emergency Medical Services) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1720092752 | MR. KYLE H JONES CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1881608800 | MARK E WILSON CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1467463257 | ROBIN B. BRADSHAW CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1972683498 | MR. DEAN DENNIS SEVERSON CRNA Individual | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1942345764 | MR. ALAN M. LAYTON RPH Individual | Pharmacist | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3790 |
| 1568597763 | DR. RONALD SCOTT OVERY PHARMD. Individual | Pharmacist | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3791 |
| 1477753705 | TOOELE HOSPITAL CORPORATION INC Organization | Ambulance (Land Transport) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1467693473 | MRS. CORY ANN HANSEN M.S, R.D. Individual | Dietitian, Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1518972280 | DESERET PEAK ANESTHESIA, LLC Organization | Nurse Anesthetist, Certified Registered | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3600 |
| 1467459479 | JAMES THOMAS WEBBER MD Individual | Radiology (Diagnostic Radiology) | 2055 N MAIN ST TOOELE, UT 84074 (435) 843-3646 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366404840, enumerated in the NPI registry as an "individual" on April 03, 2006
The provider is located at 2055 N Main St Tooele, Ut 84074 and the phone number is (435) 843-3600
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.41 with an average copayment of $21.1 for new patient appointments. Established patients should expect a typical charge of $96.35 and an average copayment of 24.08. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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