TANNER JESSE HARMON (M.D.) – Diagnostic Radiology Physician, NPI 1821483389

TANNER JESSE HARMON (M.D.) is a healthcare provider. based in Spokane, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 12745075-1205 (UT). The NPI Number for TANNER JESSE HARMON (M.D.) is 1821483389

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TANNER JESSE HARMON (M.D.)
NPI
1821483389
Phone
Not provided
Address
101 W 8TH AVE
Enumeration Date
1 April 2015
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8018124624
Graduation Year
2015 (11 years ago)
PAC ID
3971903550
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20220419000754
Address ID
UT846043305PR1055X500X300

Contacts

Secure Messaging
credentialing@reverehealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

1,262 DIAGNOSTIC RADIOLOGY in WA

Provider Addresses for TANNER JESSE HARMON (M.D.)

  • 101 W 8TH AVE

    SPOKANE, WA 992042307

    Phone:

    Type: Mailing

  • 1055 N 500 W

    ATTN CREDENTIALING

    PROVO, UT 84604

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • 2825 E Mall Dr

    St George, UT 847901954

    Phone: (435) 986-2238

    Fax: (435) 986-2237

    Type: Location

  • 3000 N Triumph Blvd

    Lehi, UT 840437186

    Phone: (385) 345-3155

    Fax: (385) 345-3163

    Type: Location

  • 555 W State Road 164

    Salem, UT 846535732

    Phone: (801) 812-4624

    Fax: (801) 812-4699

    Type: Location

  • 1175 E 50 S Ste 221

    American Fork, UT 840032845

    Phone: (801) 492-5996

    Fax: (801) 492-5993

    Type: Location

  • 1055 N 500 W STE 112

    PROVO, UT 846043305

    Phone: (801) 812-4624

    Fax: (801) 812-4699

    Type: Location

  • ATTN CREDENTIALING

    1055 N 500 W

    PROVO, UT 846048460

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    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: 2022-04-19

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
I20220419000754IDiagnostic RadiologyUTTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml13,696178$0
A9585Injection, gadobutrol, 0.1 ml6,62590$0
77080Dxa bone density measurement of hip, pelvis, spine187187$0
71046X-ray of chest, 2 views182176$0
J1100Injection, dexamethasone sodium phosphate, 1 mg18018$0
View full utilization report →

Insurance plans in this area (ZIP 99204)

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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: 7517868508View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm TANNER JESSE HARMON (M.D.)'s NPI?
Yes. TANNER JESSE HARMON (M.D.) is listed with NPI 1821483389 in the public NPI dataset.
Is TANNER JESSE HARMON (M.D.) still practicing?
TANNER JESSE HARMON (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes TANNER JESSE HARMON (M.D.)?
For research purposes, treat TANNER JESSE HARMON (M.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TANNER JESSE HARMON (M.D.) on a map?
Expect Spokane, Washington as a primary anchor for TANNER JESSE HARMON (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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