TRENT C. HOLMBERG M.D.
NPI 1174546337
Psychiatry & Neurology - Psychiatry in Draper, UT

Active since July 26, 2006Opted out of Medicare · through Jan 1, 2028
12481 S FORT ST STE 275, DRAPER, UT 84020(801) 432-2077(801) 432-2079 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trent C. Holmberg M.d. NPPES

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

TRENT C. HOLMBERG M.D. (NPI 1174546337) is an individual psychiatry provider in Draper, Utah, licensed in Utah (376105-1205) and active in the NPI registry since July 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174546337
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTRENT C. HOLMBERGCredential: M.D.
Location Address12481 S FORT ST STE 275Draper, UT 84020-2106
Mailing Address12481 S Fort St Ste 275Draper, UT 84020-2106 · (801) 432-2077 · Fax (801) 432-2079
Fax(801) 432-2079
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1174546337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in UT · 376105-1205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 3761051205 (UT)
12481 S FORT ST STE 275, Draper, UT 84020

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Trent C. Holmberg M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
12481 S FORT ST STE 275
DRAPER, UT 84020

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 Trent Holmberg's NPI number?

The NPI number for Trent Holmberg is 1174546337. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Trent Holmberg located?

Trent Holmberg practices at 12481 S Fort St Ste 275, Draper, UT 84020. The listed phone number is (801) 432-2077.

What is Trent Holmberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Trent Holmberg enrolled in Medicare?

No. Trent Holmberg has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Trent Holmberg was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.