DR. BENJAMIN J. VERSEMAN MD
NPI 1003304122
Emergency Medicine in Salt Lake City, UT
About Dr. Benjamin J. Verseman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN J. VERSEMAN MD (NPI 1003304122) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (12439739-1205) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ogden Regional Medical Center, and is a graduate of University Of California, Davis School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin J. Verseman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Benjamin Verseman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah and Wyoming enrollments
- Also billed through NPI 1174033989 (Wyoming)
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 clinicians in this Medicare group
Salt Lake City, UT 84113
- Reassigned Medicare billing, Utah enrollment
- 751 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ogden Regional Medical Center
Acute Care Hospitals · Ogden, UTHoly Cross Hospital-Davis
Acute Care Hospitals · Layton, UTLakeview Hospital
Acute Care Hospitals · Bountiful, UTHoly Cross Hospital-Jordan Valley
Acute Care Hospitals · West Jordan, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Verseman's NPI number?
The NPI number for Benjamin Verseman is 1003304122. It was assigned to this individual provider in the NPPES registry on April 24, 2018.
Where is Benjamin Verseman located?
Benjamin Verseman practices at 30 N 1900 E # 1c026, Salt Lake City, UT 84132. The listed phone number is (801) 581-2417.
What is Benjamin Verseman's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Benjamin Verseman enrolled in Medicare?
Yes. Benjamin Verseman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Benjamin Verseman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Verseman reassigns Medicare benefits to 3 organizations: University Of Utah Adult Services (Salt Lake City, UT), Emergency Physicians Integrated Care, LLC (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Verseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Verseman accept?
Health plans from Blue Cross Blue Shield of Wyoming list Benjamin Verseman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Verseman affiliated with any hospitals?
According to CMS data, Benjamin Verseman is affiliated with Ogden Regional Medical Center, Holy Cross Hospital-Davis, Lakeview Hospital and Holy Cross Hospital-Jordan Valley.
When was this NPI record last updated?
The NPPES record for Benjamin Verseman was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Benjamin J. Verseman, MD · NPI 1003304122
Emergency Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 24, 2018.
## Identity
- **NPI:** 1003304122 (Entity type: Individual)
- **Enumerated:** April 24, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 12439739-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N 1900 E # 1C026, Salt Lake City, UT 84132-0002
- **Phone:** (801) 581-2417
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1932503430, Salt Lake City, UT); Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT); University Of Utah Pediatric Services (NPI 1023472594, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** August 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003304122) · Data from the CMS NPPES public registry.