JESSE WALKER (DO) – Physical Medicine & Rehabilitation Physician, NPI 1417452046

JESSE WALKER (DO) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 11420247-1204 (UT). The NPI Number for JESSE WALKER (DO) is 1417452046

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSE WALKER (DO)
NPI
1417452046
Phone
(801) 581-7985
Address
30 N 1900 E
Enumeration Date
26 March 2018
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015613400
Graduation Year
2018 (8 years ago)
PAC ID
5991138794
Group Practice PAC ID
8628514890
Professional Enrollment ID
I20220721000928
Address ID
UT840940743SA8074X1300300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

153 PHYSICAL MEDICINE AND REHABILITATION in UT

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Provider Addresses for JESSE WALKER (DO)

  • 1900 East, Sugar House, Salt Lake City, Salt Lake County, Utah, 84109, United States

    Salt Lake City, UT 841320002

    Phone: (801) 581-7985

    Type: Location

  • 1611 E SPRING RUN DR

    HOLLADAY, UT 841176956

    Phone: (925) 330-5535

    Type: Mailing

  • 8074 S 1300 E

    SANDY, UT 840940743

    Phone: (925) 330-5535

    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: 2022-07-21

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
I20220721000928IPhysical Medicine And RehabilitationUTTBD

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
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1,655198$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes640204$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes573177$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes492175$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days485180$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 8628514890View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationUT
Clinical Social WorkerUT
Physician AssistantNV
Physical Medicine And RehabilitationUT

Reviews

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Frequently asked questions

Is there an official ID for JESSE WALKER (DO) in U.S. healthcare records?
The official identifier for JESSE WALKER (DO) is NPI 1417452046.
Is there an active status for JESSE WALKER (DO)?
For scheduling context, JESSE WALKER (DO) is shown as active in the registry.
What expertise is attributed to JESSE WALKER (DO)?
JESSE WALKER (DO)'s specialty line reads Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is JESSE WALKER (DO) located near Salt Lake City?
JESSE WALKER (DO) currently maps to Salt Lake City, Utah in this extract.
When was this NPI issued?
Enumeration for JESSE WALKER (DO) is noted as March 26, 2018 where the registry provides it.

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