DR. NATHAN G MOMBERGER (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1467486795
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
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Provider Addresses for DR. NATHAN G MOMBERGER (M.D.)
Fashion Boulevard, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841076121
Phone: (801) 314-5026
Fax: (801) 314-4015
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 46 Open Payments records for all available years, with a total value of $1,004,333.
Total Amount is formed as General ($1,004,333) + Research ($0) + Ownership ($0) = $1,004,333.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ORTHO DEVELOPMENT CORPORATION ($1,002,650).
Total Amount
$1,004,333
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,004,333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ORTHO DEVELOPMENT CORPORATION | $1,002,650 |
| DePuy Synthes Sales Inc. | $782 |
| Medical Device Business Services, Inc. | $680 |
| Think Surgical, Inc. | $207 |
| PFIZER INC. | $13 |
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: 2006-02-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060208000372 | I | Orthopedic Surgery | UT | 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 |
|---|---|---|---|---|
| 73562 | X-ray of knee, 3 views | 506 | 253 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 432 | 37 | $0 |
| 73502 | X-ray of hip, 2-3 views | 192 | 93 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 172 | 142 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 110 | 102 | $0 |
Insurance plans in this area (ZIP 84107)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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