SAMANTHA L. SALMON MD
NPI 1316516123
Radiology - Diagnostic Radiology in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since June 24, 2021PECOS Enrolled

30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132(801) 581-2868 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2022, Jun 24, 2021 (2 updates tracked since 2021).

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About Samantha L. Salmon Md NPPES

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

SAMANTHA L. SALMON MD (NPI 1316516123) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (12994436-1205) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2021).

NPPES Registry Identity

NPI1316516123

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameSAMANTHA L. SALMONCredential: MD

Location Address30 N 1900 E RM 1A071Salt Lake City, UT 84132-0002

Mailing Address30 N 1900 E Rm 1a071Salt Lake City, UT 84132-0002 · (801) 581-2868

Phone(801) 581-2868

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2021

Enumeration DateJune 24, 2021

Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1316516123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in UT · 12994436-1205

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2021023862 (MO)

30 N 1900 E RM 1A071, Salt Lake City, UT 84132

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Other Names 1

Former Name (1)Samantha Dyroff

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha L. Salmon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103228689

PECOS Enrollment IDI20260518003191

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 84132 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.