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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATELYN PELOZA MD
NPI 1043835093
Psychiatry & Neurology - Addiction Medicine in Salt Lake City, UT

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
501 S CHIPETA WAY RM 1000, SALT LAKE CITY, UT 84108(801) 585-0895 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Aug 31, 2023, Jun 15, 2020 (3 updates tracked since 2020).

About Katelyn Peloza Md NPPES

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

KATELYN PELOZA MD (NPI 1043835093) is an individual addiction medicine provider in Salt Lake City, Utah, licensed in Utah (14260162-1205) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1043835093
Entity TypeIndividualFemale
Primary Taxonomy2084A0401X
Provider Legal NameKATELYN PELOZACredential: MD
Location Address501 S CHIPETA WAY RM 1000Salt Lake City, UT 84108-1222
Mailing Address501 S Chipeta Way Rm 1000Salt Lake City, UT 84108-1222 · (801) 585-0895
Phone(801) 585-0895
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2020
Enumeration DateJune 15, 2020
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1043835093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in UT · 14260162-1205
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedEmergency MedicineTaxonomy 207P00000X · License 96849 (GA)
501 S CHIPETA WAY RM 1000, Salt Lake City, UT 84108
Open in Google Maps ↗

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-5103 · Phone (858) 207-8184

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Katelyn Peloza 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.

PECOS PAC ID4183046634
PECOS Enrollment IDI20231019000197
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Katelyn Peloza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Specialty Associates, LLC
1,569 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888
Emory Medical Care Foundation Inc
1,580 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
The Emory Clinic Inc
1,582 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
153 services142 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
146 services145 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

BRIANNE KIMMET DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 585-5184
BROOKE DANIELLE PARKER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
MONIKA VLOKA MD
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
JULIAN ROBERT MOSS DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
AMANDA LANAE AYRE DO
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
SUNG KIM
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 585-5184
DR. SPENCER KYLE STEADMAN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
DR. JULIE E. EMMOND MD
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121

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 Katelyn Peloza's NPI number?

The NPI number for Katelyn Peloza is 1043835093. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Katelyn Peloza located?

Katelyn Peloza practices at 501 S Chipeta Way Rm 1000, Salt Lake City, UT 84108. The listed phone number is (801) 585-0895.

What is Katelyn Peloza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Katelyn Peloza enrolled in Medicare?

Yes. Katelyn Peloza 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 Katelyn Peloza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Peloza reassigns Medicare benefits to 3 organizations: Emory Specialty Associates, LLC (Lagrange, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Katelyn Peloza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Peloza accept?

Health plans from Oscar Health list Katelyn Peloza 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 Katelyn Peloza affiliated with any hospitals?

According to CMS data, Katelyn Peloza is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Peloza was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.