TEGAN D. MCCONNELL
NPI 1114484490
Psychiatry & Neurology - Neurology in Salt Lake City, UT

Q: What is Tegan Mcconnell's NPI number?

The NPI number for Tegan Mcconnell is 1114484490. It was assigned to this individual provider in the NPPES registry on February 22, 2019. The provider is also known as Tegan Clark.

Q: What is Tegan Mcconnell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Tegan Mcconnell was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 22, 2019PECOS EnrolledAccepts Medicare Assignment

175 N MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132(801) 581-4192 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2021, Feb 22, 2019 (2 updates tracked since 2019).

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About Tegan D. Mcconnell NPPES

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

TEGAN D. MCCONNELL (NPI 1114484490) is an individual neurology provider in Salt Lake City, Utah, licensed in Utah (12494813-1205) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1114484490

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameTEGAN D. MCCONNELL

Location Address175 N MEDICAL DRIVE EASTSalt Lake City, UT 84132-0001

Mailing Address175 N Medical Drive EastSalt Lake City, UT 84132-0001 · (801) 581-4192

Phone(801) 581-4192

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2020

Enumeration DateFebruary 22, 2019

Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration

NPPES CertifiedOctober 4, 2021

✔ NPI 1114484490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in UT · 12494813-1205

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

175 N MEDICAL DRIVE EAST, Salt Lake City, UT 84132

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Other Names 1

Former Name (1)Tegan Clark

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 453-3797

Accepted Insurance

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

Tegan D. Mcconnell 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 ID4486052057

PECOS Enrollment IDI20240801003218

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Physician 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.

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.

Other Providers at the Same Location NPPES 5

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

MATTHEW JENSEN MD

Psychiatry & Neurology (Epilepsy)