Alpine Orthopaedic Specialists LLC – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1427184449
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Alpine Orthopaedic Specialists LLC
2310 N 400 E STE A
PO BOX 6250
LOGAN, UT 843411796
Phone: (435) 787-2000
Fax: (435) 787-1913
Type: Mailing
1160 E 3900 S Ste 4050
Salt Lake City, UT 841241264
Phone: (801) 262-8486
Fax: (801) 284-8699
Type: Location
1030 Medical Dr Ste A
Brigham City, UT 843023276
Phone: (435) 723-9700
Fax: (435) 787-1913
Type: Location
55 E Golf Course Rd Unit B
Logan, UT 843210001
Phone: (435) 787-2000
Fax: (435) 787-1913
Type: Location
PO BOX 30015 DEPT 214
SALT LAKE CITY, UT 841300015
Phone: (435) 787-2000
Fax: (435) 787-1913
Type: Mailing
2310 N 400 E
SUITE A
LOGAN, UT 843411788
Phone: (435) 787-2000
Fax: (435) 787-1913
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: 2021-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (586 days ago).
Enrollment records
4
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20031122000068 | O | Clinic/Group Practice | UT | TBD |
| O20080109000151 | O | Clinic/Group Practice | ID | TBD |
| O20100930061156 | O | Physician - Podiatry | UT | 2024-10-31 |
| O20210512000655 | O | Clinic/Group Practice | NV | 2026-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 84341)
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