DR. BRADLEY DRYDEN ROOT (D.O.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1154312197
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
153 PHYSICAL MEDICINE AND REHABILITATION in UT
Provider Addresses for DR. BRADLEY DRYDEN ROOT (D.O.)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
1424 E FOREMASTER DR STE 120
ST GEORGE, UT 847905844
Phone: (435) 656-8800
Fax: (435) 627-1809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,138.
Total Amount is formed as General ($1,138) + Research ($0) + Ownership ($0) = $1,138.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lundbeck LLC ($259).
Total Amount
$1,138
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $259 |
| ABBVIE INC. | $170 |
| PROTEGA PHARMACEUTIALS INC | $144 |
| Averitas Pharma Inc. | $119 |
| Boston Scientific Corporation | $80 |
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: 2010-12-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101227000427 | I | Physical Medicine And Rehabilitation | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 464 | 136 | $0 |
| 95911 | Nerve conduction, 9-10 studies | 58 | 55 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 55 | 33 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 46 | 41 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 84604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | UT | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 14 | 11 |
| PHYSICAL MEDICINE AND REHABILITATIO | UT | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 5096 | 306 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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