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DR. JEREMY ROBERT CHIDESTER M.D.
NPI 1194015693
Plastic Surgery in South Jordan, UT

Active since April 18, 2011PECOS Enrolled
1309 W SOUTH JORDAN PKWY STE 110, SOUTH JORDAN, UT 84095(801) 839-5557(801) 770-4455 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Apr 10, 2018 (2 updates tracked since 2018).

About Dr. Jeremy Robert Chidester M.d. NPPES

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

DR. JEREMY ROBERT CHIDESTER M.D. (NPI 1194015693) is an individual plastic surgery provider in South Jordan, Utah, licensed in Utah (10668647-1205) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194015693
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JEREMY ROBERT CHIDESTERCredential: M.D.
Location Address1309 W SOUTH JORDAN PKWY STE 110South Jordan, UT 84095-9014
Mailing Address1309 W South Jordan Pkwy Ste 110South Jordan, UT 84095-9014 · (801) 839-5557 · Fax (801) 770-4455
Phone(801) 839-5557
Fax(801) 770-4455
Sole ProprietorNo
Enumeration DateApril 18, 2011
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1194015693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in UT · 10668647-1205
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 10668647-1205 (UT)
1309 W SOUTH JORDAN PKWY STE 110, South Jordan, UT 84095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Robert Chidester M.d. 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 84095 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.

Other Providers at the Same Location NPPES 3

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

LUMIN THERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT 84095
Salt Lake County (801) 692-3278
PLASTICS CLINIC
Plastic Surgery
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT 84095
Salt Lake County (801) 839-5557
BRYAN PYFER
Plastic Surgery
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT 84095
Salt Lake County (801) 839-5557

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 Jeremy Chidester's NPI number?

The NPI number for Jeremy Chidester is 1194015693. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Jeremy Chidester located?

Jeremy Chidester practices at 1309 W South Jordan Pkwy Ste 110, South Jordan, UT 84095. The listed phone number is (801) 839-5557.

What is Jeremy Chidester's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jeremy Chidester enrolled in Medicare?

Yes. Jeremy Chidester is registered in the Medicare PECOS enrollment system.

What insurance does Jeremy Chidester accept?

Health plans from Molina Healthcare list Jeremy Chidester 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.

When was this NPI record last updated?

The NPPES record for Jeremy Chidester was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.