Douglas Esplin, MD
NPI 1063421451 · Family Medicine Physician · Herriman, UT
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Esplin, MD is a Family Medicine Physician provider in Herriman, UT (NPI 1063421451).
Provider details
- NPI number
- 1063421451
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 275543-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
244 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 131 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 58 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 33 | $119 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 11 | $171 |
| Administration of Influenza Virus VaccineG0008 | 11 | $28 |
Typical Medicare-allowed amounts for these services range $15–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 60 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 158 | 46 |
| Losartan Potassium | 116 | 35 |
| Omeprazole | 91 | 29 |
| Levothyroxine Sodium | 83 | 25 |
| Lisinopril | 82 | 26 |
| Metformin Hclbrand: Metformin Hcl Er | 78 | 23 |
| Trazodone Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2015-11-06
Frequently asked questions
- What is Douglas Esplin's NPI number?
- Douglas Esplin's National Provider Identifier (NPI) is 1063421451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Esplin's specialty?
- Douglas Esplin is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Esplin located?
- Douglas Esplin's practice location on file with NPPES is 5541 W 13400 S, Herriman, UT 84096-5640.
- What is Douglas Esplin's phone number?
- The practice phone number listed in the NPPES registry for Douglas Esplin is (435) 752-1010.
- Does Douglas Esplin accept Medicare?
- Douglas Esplin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Esplin's NPI active?
- Yes — Douglas Esplin's NPI (1063421451) is active in the NPPES registry as of the last update on 2015-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.