MCKENNAN J. THURSTON MD NPI 1194088856

NPI Information

  • NPI: 1194088856
  • Provider Name: MCKENNAN J. THURSTON, MD
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4166 SUMMER RIDGE RD
    MORGAN, UT
    ZIP 84050
  • Phone: (801) 809-3766

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NPI Details

Mckennan J. Thurston, MD is a sports medicine family medicine in Morgan, UT with 14 years of experience. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Mckennan J. Thurston, MD NPI is 1194088856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4166 SUMMER RIDGE RD
MORGAN, UT
ZIP 84050-344
Phone: (801) 809-3766
Fax: (801) 516-0639

The NPI 1194088856 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Vitamin d-3 level (HCPCS:82306)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Measurement c-reactive protein for detection of infection or inflammation, high sensitivity (HCPCS:86141)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection into tendon or ligament (HCPCS:20550)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Sex hormone binding globulin (protein) level (HCPCS:84270)
  • Testosterone (hormone) level, total (HCPCS:84403)

The enumeration date for this NPI number is 6/19/2012 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine56747MINNESOTANo
2207QS0010XFamily MedicineSports Medicine9817986-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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