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DR. JONATHAN RODGER WOOD MD
NPI 1255567947
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since June 08, 2009PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 487-0451(801) 487-2467 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2025, Apr 25, 2024, Apr 10, 2024 and 3 more (6 updates tracked since 2015).

About Dr. Jonathan Rodger Wood Md NPPES

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

DR. JONATHAN RODGER WOOD MD (NPI 1255567947) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (12974760-1205) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Primary Children's Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1255567947
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JONATHAN RODGER WOODCredential: MD
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 487-0451
Fax(801) 487-2467
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2009
Enumeration DateJune 8, 2009
Last NPPES UpdateSeptember 4, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1255567947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in UT · 12974760-1205✔ Licensed in MO · 2019039191
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 2019039191 (MO)
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
Open in Google Maps ↗

Secondary Practice Location 1

Location 1510 S Kingshighway Blvd, Dept RadiologySaint Louis, MO 63110-1016 · Phone (314) 362-7200 · Fax (314) 747-4189

Other Identifiers 1

Medicaid200089878MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Rodger Wood Md 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 ID6406193770
PECOS Enrollment IDI20230609001863
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Jonathan Wood reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Neonatal-Perinatal Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1497473375 (801) 442-5000
University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336
Tellica Imaging, LLC
300 mi
Radiology
8505 W OVERLAND RD
Boise, ID 83709
  • Reassigned Medicare billing, Idaho and Utah enrollments
  • 42 clinicians in this Medicare group
NPI 1760197198 (208) 417-5100
Tellica Imaging - Washington LLC
685 mi
Radiology
421 EAST MAIN STREET
Auburn, WA 98002
  • Reassigned Medicare billing, Washington enrollment
  • 89 clinicians in this Medicare group
NPI 1215887401 (253) 204-2530
Miracl, LLC
1,089 mi
Multi-Specialty
1000 W 10TH ST
Rolla, MO 65401
  • Reassigned Medicare billing, Missouri enrollment
  • 347 clinicians in this Medicare group
NPI 1205304300 (573) 364-9000
Washington University
1,156 mi
Multi-Specialty
510 S KINGSHIGHWAY BLVD
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri and Utah enrollments
  • 373 clinicians in this Medicare group
NPI 1962442475 (314) 273-0770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Primary Children's Hospital

Childrens · Salt Lake City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number463301
Location100 North Mario Capecchi DriveSalt Lake City, UT 84113 · Salt Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

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

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Jonathan Wood's NPI number?

The NPI number for Jonathan Wood is 1255567947. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Jonathan Wood located?

Jonathan Wood practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 487-0451.

What is Jonathan Wood's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jonathan Wood enrolled in Medicare?

Yes. Jonathan Wood 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.

Which organizations bill Medicare for Jonathan Wood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wood reassigns Medicare benefits to 6 organizations: Ihc Health Services Inc (Salt Lake City, UT), University Of Utah Pediatric Services (Salt Lake City, UT), Tellica Imaging, LLC (Boise, ID), Tellica Imaging - Washington LLC (Auburn, WA), Miracl, LLC (Rolla, MO) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Wood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jonathan Wood affiliated with any hospitals?

According to CMS data, Jonathan Wood is affiliated with Primary Children's Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Wood was last updated on September 4, 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.