DEREK GARN RODEBACK D.O.
NPI 1053751032
Physical Medicine & Rehabilitation - Sports Medicine in Bountiful, UT
About Derek Garn Rodeback D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK GARN RODEBACK D.O. (NPI 1053751032) is an individual sports medicine provider in Bountiful, Utah, licensed in Utah (12005709-1204) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Derek Garn Rodeback D.o. 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. George Regional Hospital
Acute Care Hospitals · St George, UTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOUNTIFUL, UT 84010
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 Derek Rodeback's NPI number?
The NPI number for Derek Rodeback is 1053751032. It was assigned to this individual provider in the NPPES registry on July 5, 2013.
Where is Derek Rodeback located?
Derek Rodeback practices at 1818 Mueller Park Rd, Bountiful, UT 84010. The listed phone number is (453) 414-9858.
What is Derek Rodeback's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Derek Rodeback enrolled in Medicare?
Yes. Derek Rodeback 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.
What insurance does Derek Rodeback accept?
Health plans from Select Health list Derek Rodeback 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 Derek Rodeback affiliated with any hospitals?
According to CMS data, Derek Rodeback is affiliated with St. George Regional Hospital.
When was this NPI record last updated?
The NPPES record for Derek Rodeback was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Derek Garn Rodeback, D.O. · NPI 1053751032
Sports Medicine physician in Bountiful, Utah. Individual provider, active in the CMS NPPES registry since July 5, 2013.
## Identity
- **NPI:** 1053751032 (Entity type: Individual)
- **Enumerated:** July 5, 2013
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **State license:** 12005709-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 MUELLER PARK RD, Bountiful, UT 84010-1105
- **Phone:** (453) 414-9858
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2013
## Record status
- **NPPES last updated:** May 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053751032) · Data from the CMS NPPES public registry.