DAVID JACOB FJELDSTED (M.D.) – Clinical Pathology Physician, NPI 1225349525
Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
159 PATHOLOGY in UT
Provider Addresses for DAVID JACOB FJELDSTED (M.D.)
PO BOX 413037
SALT LAKE CITY, UT 841413037
Phone: (801) 213-3900
Type: Mailing
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
Phone: (801) 581-2507
Type: Location
5700 SOUTHWYCK BLVD
TOLEDO, OH 436141509
Phone: (800) 288-8325
Type: Mailing
3580 W 9000 S
WEST JORDAN, UT 840888812
Phone: (801) 561-8888
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.
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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: 2025-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150218000899 | I | Pathology | UT | TBD |
| I20250731004165 | I | Pathology | CO | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 381 | 189 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 142 | 111 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 138 | 29 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 64 | 34 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 29 | 18 | $0 |
Insurance plans in this area (ZIP 84141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | UT |
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