DAVID L. RIESBERG MD
NPI 1114504024
Radiology - Diagnostic Radiology in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since March 26, 2021PECOS Enrolled

30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132(801) 581-2868 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2022, Mar 31, 2021, Mar 26, 2021 (3 updates tracked since 2021).

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About David L. Riesberg Md NPPES

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

DAVID L. RIESBERG MD (NPI 1114504024) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (12952634-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114504024

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDAVID L. RIESBERGCredential: MD

Location Address30 N 1900 E RM 1A071Salt Lake City, UT 84132-0002

Mailing Address30 N 1900 E Rm 1a071Salt Lake City, UT 84132-0002 · (801) 581-2868

Phone(801) 581-2868

Sole ProprietorNo

Enumeration DateMarch 26, 2021

Last NPPES UpdateJuly 27, 20223 updates tracked since enumeration

NPPES CertifiedJuly 27, 2022

✔ NPI 1114504024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in UT · 12952634-1205

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

30 N 1900 E RM 1A071, Salt Lake City, UT 84132

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David L. Riesberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$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.