SCOTT BRUDERER PA
NPI 1003988205
Physician Assistant in Draper, UT

Q: What is Scott Bruderer's NPI number?

The NPI number for Scott Bruderer is 1003988205. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Scott Bruderer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bruderer was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment

1126 E 12300 S, DRAPER, UT 84020(801) 545-0500(801) 545-0626 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Jan 27, 2022, Jan 20, 2020 and 2 more (5 updates tracked since 2019).

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About Scott Bruderer Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT BRUDERER PA (NPI 1003988205) is an individual physician assistant in Draper, Utah, licensed in Utah (2828151206) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lone Peak Hospital, and maintains a secondary practice location in Draper.

NPPES Registry Identity

NPI1003988205

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSCOTT BRUDERERCredential: PA

Location Address1126 E 12300 SDraper, UT 84020-9095

Mailing Address10433 S Redwood Rd Ste 2South Jordan, UT 84095-8502 · (801) 260-1919 · Fax (801) 260-1441

Phone(801) 545-0500

Fax(801) 545-0626

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 14, 2006

Last NPPES UpdateMarch 19, 20255 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1003988205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in UT · 2828151206✔ Licensed in UT · 282815-1206

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1126 E 12300 S, Draper, UT 84020

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Secondary Practice Location 1

Location 196 E Kimballs Ln Ste 207Draper, UT 84020-5025 · Phone (801) 576-2300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Bruderer Pa 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.

PECOS PAC ID4385660653

PECOS Enrollment IDI20051017000899

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

118 services13 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

44 services32 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

38 services30 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

32 services26 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

30 services28 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

28 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lone Peak Hospital

Acute Care Hospitals · Draper, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460060

Location11925 South State StreetDraper, UT 84020 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA M ANDERSON MD

Emergency Medicine