JEREMY ANDERSON (DPM) – Podiatrist, NPI 1144714296

JEREMY ANDERSON (DPM) is a healthcare provider. based in Slc, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 11354714-0501 (UT). The NPI Number for JEREMY ANDERSON (DPM) is 1144714296

Main info

Male
8 Years Of Experience
Name
JEREMY ANDERSON (DPM)
NPI
1144714296
Phone
Not provided
Address
500 FOOTHILL DR
Enumeration Date
20 June 2018
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Secondary Phone
7028781400
Graduation Year
2018 (8 years ago)
PAC ID
5092116145
Group Practice PAC ID
7911102389
Professional Enrollment ID
I20220526001697
Address ID
NV891461231LA1416XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

198 PODIATRY in UT

Provider Addresses for JEREMY ANDERSON (DPM)

  • 500 FOOTHILL DR

    SLC, UT 841480001

    Phone:

    Type: Mailing

  • 500 Foothill Dr

    Slc, UT 841480001

    Phone: (801) 582-1565

    Type: Location

  • 1416 S JONES BLVD

    LAS VEGAS, NV 891461231

    Phone: (702) 878-1400

    Fax: (888) 263-5542

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $25,772.

Total Amount is formed as General ($25,772) + Research ($0) + Ownership ($0) = $25,772.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($25,687).

Total Amount

$25,772

General + Research + Ownership

Payments

40

Total payment records

General Amount

$25,772

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220526001697IPodiatryNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes394184$0
99214Established patient office or other outpatient visit, 30-39 minutes249153$0
11042Removal of skin and tissue, 20.0 sq cm or less22475$0
11721Removal of fingernails or toenails, 6 or more nails223121$0
73630X-ray of foot, minimum of 3 views190106$0
View full utilization report →

Insurance plans in this area (ZIP 84148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911102389View full group profile
NameSpecialtyState
P O D I A T R YNV
P O D I A T R YUT

Reviews

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Frequently asked questions

What identifier follows JEREMY ANDERSON (DPM) across health systems?
The NPI 1144714296 uniquely identifies JEREMY ANDERSON (DPM) in U.S. healthcare data.
Is JEREMY ANDERSON (DPM) currently accepting referrals based on NPI status?
Registry metadata lists JEREMY ANDERSON (DPM) as active.
What does the directory say JEREMY ANDERSON (DPM) does?
Insurance directories may phrase it differently, but here JEREMY ANDERSON (DPM) maps to Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to JEREMY ANDERSON (DPM)?
The directory associates JEREMY ANDERSON (DPM) with Slc, Utah. Check all listed addresses for suites or satellite offices.
Why is information missing for JEREMY ANDERSON (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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