Toby Paulson, DO - Medicare Cardiovascular Disease (cardiology) in American Fork, UT

Toby Paulson, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in American Fork, Utah. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Central Utah Clinic Pc, Intermountain Healthcare Services, Inc and his current practice location is 1175 E 50 S, Ste 251, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 492-2815.

Toby Paulson is licensed to practice in Utah (license number 8281654-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235264169.

Contact Information

Toby Paulson, DO
1175 E 50 S, Ste 251,
American Fork, UT 84003-2845
(801) 492-2815
(801) 492-0191

Map and Direction




Physician's Profile

Full NameToby Paulson
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience19 Years
Location1175 E 50 S, American Fork, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toby Paulson attended and graduated from Ohio University, College Of Osteopathic Medicine in 2005
  NPI Data:
  • NPI Number: 1235264169
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7719081579
  • Enrollment ID: I20160922001363

Medical Identifiers

Medical identifiers for Toby Paulson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235264169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 8938 (Ohio)Secondary
208M00000XHospitalist 20A12193 (California)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 8281654-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jordan Valley Medical CenterWest jordan, UTHospital
Utah Valley HospitalProvo, UTHospital
Timpanogos Regional HospitalOrem, UTHospital
American Fork HospitalAmerican fork, UTHospital
University Of Utah Hospitals And ClinicsSalt lake city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Utah Clinic Pc7517868508391
Intermountain Healthcare Services, Inc18502094203063

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Toby Paulson allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Toby Paulson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Toby Paulson, DO
1055 N 500 W, Attn: Credentialing,
Provo, UT 84604-3305

Ph: (801) 354-8225
Toby Paulson, DO
1175 E 50 S, Ste 251,
American Fork, UT 84003-2845

Ph: (801) 492-2815

Reviews and Comments


Internal Medicine Doctors in American Fork, UT

Wynn H Hemmert, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 36 N 1100 E, Suite A, American Fork, UT 84003
Phone: 801-772-0775    Fax: 801-772-1941
Ms. Yun Ling, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1175 E 50 S, Suite 241, American Fork, UT 84003
Phone: 801-492-5999    Fax: 801-418-0897
Dr. David Allen Bradshaw, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 98 N 1100 E Ste 302, American Fork, UT 84003
Phone: 801-492-2270    
Dr. Michael Bryant Jolley, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-357-8310    
Nathan Robert Brewster, D.O.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 98 N 1100 E Ste 302, American Fork, UT 84003
Phone: 801-492-2270    
Terry C Hammond, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1175 E 50 S Ste 161, American Fork, UT 84003
Phone: 801-377-4623    Fax: 801-377-6832
Von F Welch, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1159 E 200 N, Suite 150, American Fork, UT 84003
Phone: 801-855-2900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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