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DR. WILLIAM HARMON TETTELBACH MD
NPI 1336143361
Internal Medicine - Infectious Disease in Salt Lake City, UT

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
84.26/100
CMS Quality Rating
308 E 4500 S STE 100, SALT LAKE CITY, UT 84107(385) 533-8898 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2022, Dec 13, 2021, Jul 9, 2021 (3 updates tracked since 2021).

About Dr. William Harmon Tettelbach Md NPPES

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

DR. WILLIAM HARMON TETTELBACH MD (NPI 1336143361) is an individual infectious disease provider in Salt Lake City, Utah, licensed in Utah (351005-1205) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Brigham City Community Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1995).

NPPES Registry Identity

NPI1336143361
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. WILLIAM HARMON TETTELBACHCredential: MD
Location Address308 E 4500 S STE 100Salt Lake City, UT 84107-4057
Mailing Address3810 Lariat RdPark City, UT 84098-4826 · (901) 517-1889
Phone(385) 533-8898
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1995
Enumeration DateJune 8, 2005
Last NPPES UpdateJuly 30, 20253 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1336143361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in UT · 351005-1205✔ Licensed in TN · MD 37898
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 351005-1205 (UT), MD37898 (TN)
308 E 4500 S STE 100, Salt Lake City, UT 84107
Open in Google Maps ↗

Other Identifiers 2

Other3510051205UT · Utah License
Medicaid3714443TN

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

Dr. William Harmon Tettelbach 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 ID1254368194
PECOS Enrollment IDI20051015000078
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.

Hospital Affiliations CMS Care Compare

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

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT
OwnershipProprietary
CMS Certification Number460017
Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

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.

84.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40
Cost27.53

Other Providers at the Same Location NPPES 3

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

EXEMPLAR HEALTHCARE, INC.
Home Health
308 E 4500 S STE 100
MURRAY, UT 84107
Salt Lake County (801) 716-7800
LACEY MAE LAI PA-C
Physician Assistant
308 E 4500 S STE 100
MURRAY, UT 84107
Salt Lake County (385) 533-8898
EXEMPLAR HEALTHCARE, INC.
Hospice Care, Community Based
308 E 4500 S STE 100
MURRAY, UT 84107
Salt Lake County (801) 433-0344

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 William Tettelbach's NPI number?

The NPI number for William Tettelbach is 1336143361. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is William Tettelbach located?

William Tettelbach practices at 308 E 4500 S Ste 100, Salt Lake City, UT 84107. The listed phone number is (385) 533-8898.

What is William Tettelbach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is William Tettelbach enrolled in Medicare?

Yes. William Tettelbach 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.

Is William Tettelbach affiliated with any hospitals?

According to CMS data, William Tettelbach is affiliated with Brigham City Community Hospital.

When was this NPI record last updated?

The NPPES record for William Tettelbach was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.