MARK SEDERBERG D.O.
NPI 1255793576
Physical Medicine & Rehabilitation - Sports Medicine in Salt Lake City, UT

Q: What is Mark Sederberg's NPI number?

The NPI number for Mark Sederberg is 1255793576. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Mark Sederberg's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Mark Sederberg was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 25, 2016PECOS EnrolledAccepts Medicare Assignment

590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 587-5400 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2020, May 13, 2020, Mar 25, 2016 (3 updates tracked since 2016).

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About Mark Sederberg D.o. NPPES

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

MARK SEDERBERG D.O. (NPI 1255793576) is an individual sports medicine provider in Salt Lake City, Utah, licensed in Utah (11741897-1204) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1255793576

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameMARK SEDERBERGCredential: D.O.

Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200

Mailing Address590 S Wakara WaySalt Lake City, UT 84108-1200 · (801) 587-5400

Phone(801) 587-5400

Sole ProprietorNo

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2016

Enumeration DateMarch 25, 2016

Last NPPES UpdateJune 11, 20203 updates tracked since enumeration

NPPES CertifiedJune 11, 2020

✔ NPI 1255793576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in UT · 11741897-1204

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 11741897-1204 (UT)

590 S WAKARA WAY, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-3431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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

Mark Sederberg D.o. 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 ID2769778737

PECOS Enrollment IDI20200612000595

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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

323 services43 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

205 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

125 services60 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

64 services16 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

35 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460023

Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County

Emergency services Birthing friendly

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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.

KAYLA L. GATES MD

Orthopaedic Surgery