MOUNTAIN WEST FOOT & ANKLE INSTITUTE, PLLC
NPI 1306029715
Podiatrist - Foot & Ankle Surgery in American Fork, UT

Active since December 07, 2007
358 N 1100 E STE 1, AMERICAN FORK, UT 84003(801) 756-0765(801) 756-1405 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain West Foot & Ankle Institute, Pllc NPPES

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

MOUNTAIN WEST FOOT & ANKLE INSTITUTE, PLLC (NPI 1306029715) is a healthcare organization registered as a foot & ankle surgery in American Fork, Utah and active in the NPI registry since December 2007. The organization lists Brandt Ryan Gibson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1306029715
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMOUNTAIN WEST FOOT & ANKLE INSTITUTE, PLLC
Location Address358 N 1100 E STE 1American Fork, UT 84003-3250
Mailing Address358 N 1100 E Ste 1American Fork, UT 84003-3250 · (801) 756-0765 · Fax (801) 756-1405
Fax(801) 756-1405
Organization SubpartNo
Authorized OfficialBrandt Ryan GibsonPresident/owner · (801) 756-0765
Enumeration DateDecember 7, 2007
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1306029715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in UT · 5093909-0501
358 N 1100 E STE 1, American Fork, UT 84003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain West Foot & Ankle Institute, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20040831000239Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain West Foot & Ankle Institute, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1841271095
358 N 1100 E STE 1
American Fork, UT 84003
(801) 756-0765
✔ PECOS✔ Accepts MedicareSame address

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

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 Mountain West Foot & Ankle Institute, PLLC's NPI number?

The NPI number for Mountain West Foot & Ankle Institute, PLLC is 1306029715. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is Mountain West Foot & Ankle Institute, PLLC located?

Mountain West Foot & Ankle Institute, PLLC is located at 358 N 1100 E Ste 1, American Fork, UT 84003. The listed phone number is (801) 756-0765.

What is Mountain West Foot & Ankle Institute, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mountain West Foot & Ankle Institute, PLLC enrolled in Medicare?

Yes. Mountain West Foot & Ankle Institute, PLLC is registered in the Medicare PECOS enrollment system.

When is Mountain West Foot & Ankle Institute, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mountain West Foot & Ankle Institute, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Mountain West Foot & Ankle Institute, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain West Foot & Ankle Institute, PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountain West Foot & Ankle Institute, PLLC 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 Mountain West Foot & Ankle Institute, PLLC was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.