JESSICA PETROVICH MD
NPI 1265865125
Family Medicine in Taylorsville, UT

Q: What is Jessica Petrovich's NPI number?

The NPI number for Jessica Petrovich is 1265865125. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Q: What is Jessica Petrovich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Petrovich was last updated on June 4, 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 August 14, 2013PECOS EnrolledAccepts Medicare Assignment

4745 S 3200 W, TAYLORSVILLE, UT 84129(801) 964-6214(877) 497-4661 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2020, Oct 9, 2018, Mar 29, 2017 (3 updates tracked since 2017).

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About Jessica Petrovich Md NPPES

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

JESSICA PETROVICH MD (NPI 1265865125) is an individual family medicine provider in Taylorsville, Utah, licensed in Utah (10964121-1205) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Oregon Health Sciences University School Of Medicine (2017).

NPPES Registry Identity

NPI1265865125

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSICA PETROVICHCredential: MD

Location Address4745 S 3200 WTaylorsville, UT 84129-2822

Mailing Address2621 S 3270 WWest Valley City, UT 84119-1119 · (385) 261-2737 · Fax (877) 497-4661

Phone(801) 964-6214

Fax(877) 497-4661

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2017

Enumeration DateAugust 14, 2013

Last NPPES UpdateJune 4, 20203 updates tracked since enumeration

NPPES CertifiedJune 4, 2020

✔ NPI 1265865125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 10964121-1205

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4745 S 3200 W, Taylorsville, UT 84129

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Secondary Practice Location 1

Location 1375 S Chipeta Way, Suite ASalt Lake City, UT 84108-1260 · Phone (801) 581-7200

Other Identifiers 1

Medicaid74-2412898UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Jessica Petrovich 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 ID2062765480

PECOS Enrollment IDI20200611001641

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

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

26 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84129 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

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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 20

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

AMBER SHARP HEISE MD

Pediatrics