JOSEPH ANDREW REISTETTER (MD) – Psychiatry Physician, NPI 1407280415

JOSEPH ANDREW REISTETTER (MD) is a healthcare provider. based in Lehi, Utah. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 10964123-1205 (UT). The NPI Number for JOSEPH ANDREW REISTETTER (MD) is 1407280415

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH ANDREW REISTETTER (MD)
NPI
1407280415
Phone
(801) 821-2333
Address
3300 N Triumph Blvd Ste 500
Enumeration Date
26 August 2013
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8012646000
Graduation Year
2017 (9 years ago)
PAC ID
3476806977
Group Practice PAC ID
6709915473
Professional Enrollment ID
I20191106000575
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for JOSEPH ANDREW REISTETTER (MD)

  • 3300 N Triumph Blvd Ste 500

    Lehi, UT 840436475

    Phone: (801) 821-2333

    Type: Location

  • 145 W 200 N Ste 600

    Provo, UT 846013016

    Phone: (801) 675-4501

    Type: Location

  • 501 S CHIPETA WAY

    SALT LAKE CITY, UT 841081222

    Phone: (801) 581-2121

    Type: Mailing

  • 3300 N TRIUMPH BLVD STE 500

    LEHI, UT 840436475

    Phone: (801) 821-2333

    Type: Mailing

  • 6550 S MILLROCK DR STE 250

    SALT LAKE CITY, UT 841212331

    Phone: (801) 821-2333

    Type: Location

  • 501 S Chipeta Way

    Salt Lake City, UT 841081222

    Phone: (801) 581-2121

    Type: Location

  • 2132 N Robins Dr Ste 300

    Layton, UT 840417077

    Phone: (801) 781-5092

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($62).

Total Amount

$111

General + Research + Ownership

Payments

4

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2019-11-06

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
I20191106000575IPsychiatryUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84043)

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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: 6709915473View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JOSEPH ANDREW REISTETTER (MD)?
NPI 1407280415 is assigned to JOSEPH ANDREW REISTETTER (MD) under the national enumeration system.
Is JOSEPH ANDREW REISTETTER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JOSEPH ANDREW REISTETTER (MD)?
The page reflects Psychiatry Physician for JOSEPH ANDREW REISTETTER (MD). Clinical services aligned with this taxonomy classification.
Where is JOSEPH ANDREW REISTETTER (MD)'s primary listing?
We display Lehi, Utah because that is what the record indicates for JOSEPH ANDREW REISTETTER (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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