ANDREW AARON NYBERG (M.D.) – Emergency Medicine Physician, NPI 1336460708

ANDREW AARON NYBERG (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 8506811-1205 (UT). The NPI Number for ANDREW AARON NYBERG (M.D.) is 1336460708

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW AARON NYBERG (M.D.)
NPI
1336460708
Phone
(952) 913-7477
Address
PO BOX 30180
Enumeration Date
19 June 2010
Last Update Date
25 February 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
8662473141
Graduation Year
2010 (16 years ago)
PAC ID
9032352612
Group Practice PAC ID
9830620459
Professional Enrollment ID
I20200225001037
Address ID
CO816575038VA180XXWXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

487 EMERGENCY MEDICINE in UT

Provider Addresses for ANDREW AARON NYBERG (M.D.)

  • PO BOX 30180

    SALT LAKE CITY, UT 841300180

    Phone: (952) 913-7477

    Type: Mailing

  • 1485 S HIGHWAY 40

    HEBER CITY, UT 840323522

    Phone: (435) 654-2500

    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: 2020-02-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130829000520IEmergency MedicineUTTBD
I20200225001037IEmergency MedicineCOTBD

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
99284Emergency department visit with moderate level of medical decision making7574$0
99285Emergency department visit with high level of medical decision making4747$0
99283Emergency department visit with low level of medical decision making3232$0
View full utilization report →

Insurance plans in this area (ZIP 84130)

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Provider's Procedures

ANDREW AARON NYBERG (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEUT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1414

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: 9830620459View full group profile
NameSpecialtyState
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineVA

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW AARON NYBERG (M.D.)'s NPI?
Yes. ANDREW AARON NYBERG (M.D.) is listed with NPI 1336460708 in the public NPI dataset.
Does the file indicate ANDREW AARON NYBERG (M.D.) is practicing under active NPI?
Directory data currently reports ANDREW AARON NYBERG (M.D.) as active.
What is ANDREW AARON NYBERG (M.D.) best known for clinically?
Directory data describes ANDREW AARON NYBERG (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ANDREW AARON NYBERG (M.D.) based?
ANDREW AARON NYBERG (M.D.) is tied to Salt Lake City, Utah in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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