JEANNETTE MATHIEU (M.D.) – Diagnostic Radiology Physician, NPI 1285169714
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
347 DIAGNOSTIC RADIOLOGY in UT
Provider Addresses for JEANNETTE MATHIEU (M.D.)
PO BOX 743749
LOS ANGELES, CA 900743749
Phone:
Type: Mailing
5169 S Cottonwood St Ste 303
Intermountain Medical Center Eccles Outpatient Center
Murray, UT 841076768
Phone: (801) 507-3750
Type: Location
1001 POTRERO AVENUE BLDG 5, 1ST FL
SAN FRANCISCO, CA 941103518
Phone: (628) 206-8020
Fax: (628) 206-4004
Type: Location
1101, 18th Avenue South, Nashville, Davidson County, Tennessee, 37212, United States
APT 411
NASHVILLE, TN 372122197
Phone: (540) 533-3427
Type: Mailing
Cottonwood Street, Murray, Salt Lake County, Utah, 84107, United States
INTERMOUNTAIN MEDICAL CENTER ECCLES OUTPATIENT CENTER
MURRAY, UT 841076768
Phone: (801) 507-3750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230912001615 | I | Diagnostic Radiology | UT | TBD |
| I20240103001384 | I | Diagnostic Radiology | ID | TBD |
| I20250912003631 | I | Diagnostic Radiology | CA | TBD |
| I20260226004143 | I | Diagnostic Radiology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 107 | 107 | $0 |
| 72125 | Ct scan of upper spine without contrast | 44 | 44 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 28 | 28 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 27 | 27 | $0 |
| 72131 | Ct scan of lower spine without contrast | 27 | 26 | $0 |
Insurance plans in this area (ZIP 90074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology, Nuclear Medicine | UT | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | AK | |
| Diagnostic Radiology | UT |
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