BRYAN C TAGGE (MD) – Otolaryngology Physician, NPI 1164557583

BRYAN C TAGGE (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 4881588-8905 (UT). The NPI Number for BRYAN C TAGGE (MD) is 1164557583

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN C TAGGE (MD)
NPI
1164557583
Phone
Not provided
Address
22 S 900 E
Enumeration Date
23 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8013282522
Graduation Year
1995 (31 years ago)
PAC ID
7911809314
Group Practice PAC ID
8022901610
Professional Enrollment ID
I20040126000355
Address ID
UT840323801HE1716X40XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

123 OTOLARYNGOLOGY in UT

Provider Addresses for BRYAN C TAGGE (MD)

  • 22 S 900 E

    SALT LAKE CITY, UT 841021307

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Optinose US, Inc. ($148).

Total Amount

$407

General + Research + Ownership

Payments

18

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2004-01-26

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
I20040126000355IOtolaryngologyUTTBD

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
95004Test for allergy using allergenic extract64016$0
99213Established patient office or other outpatient visit, 20-29 minutes12292$0
99203New patient office or other outpatient visit, 30-44 minutes7676$0
92504Exam of ear using a microscope6351$0
31575Diagnostic exam of voice box using a flexible endoscope3837$0
View full utilization report →

Insurance plans in this area (ZIP 84102)

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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: 8022901610View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
-UT
Physical Therapist In Private PracticeUT
-UT
Qualified AudiologistUT
Qualified Speech Language PathologistUT
Physician AssistantOH
Physical Therapist In Private PracticeUT
Qualified AudiologistTX
O T O L A R Y N G O L O G YUT

Reviews

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Frequently asked questions

Is BRYAN C TAGGE (MD) listed with a National Provider Identifier?
Yes — BRYAN C TAGGE (MD) has NPI 1164557583 on file in the registry.
Is there an active status for BRYAN C TAGGE (MD)?
For scheduling context, BRYAN C TAGGE (MD) is shown as active in the registry.
What kind of doctor is BRYAN C TAGGE (MD)?
BRYAN C TAGGE (MD) is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRYAN C TAGGE (MD)?
Travel planning: use Salt Lake City, Utah as the reference point for BRYAN C TAGGE (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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