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DR. AMANDA JANE WIRTH M.D
NPI 1376612150
Family Medicine in Salt Lake City, UT

Active since November 07, 2006PECOS Enrolled
4460 HIGHLAND DR STE 400, SALT LAKE CITY, UT 84124(801) 272-4111(801) 272-5989 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amanda Jane Wirth M.d NPPES

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

DR. AMANDA JANE WIRTH M.D (NPI 1376612150) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (31067-88-1206) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376612150
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AMANDA JANE WIRTHCredential: M.D
Location Address4460 HIGHLAND DR STE 400Salt Lake City, UT 84124-3565
Mailing Address4460 Highland Dr Ste 400Salt Lake City, UT 84124-3565 · (801) 272-4111 · Fax (801) 272-5989
Phone(801) 272-4111
Fax(801) 272-5989
Sole ProprietorYes
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376612150 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 · 31067-88-1206
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.
4460 HIGHLAND DR STE 400, Salt Lake City, UT 84124
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Other Identifiers 1

Medicare UPING85724UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health 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 (PECOS)

Dr. Amanda Jane Wirth M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84124 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 2

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

LAURA HELM PA-C
Physician Assistant (Medical)
4460 HIGHLAND DR STE 400
SALT LAKE CITY, UT 84124
Salt Lake County (801) 272-4111
DR. DEREK DAVID MUSE M.D.
Family Medicine
4460 HIGHLAND DR STE 400
SALT LAKE CITY, UT 84124
Salt Lake County (801) 272-4111

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 Amanda Wirth's NPI number?

The NPI number for Amanda Wirth is 1376612150. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Amanda Wirth located?

Amanda Wirth practices at 4460 Highland Dr Ste 400, Salt Lake City, UT 84124. The listed phone number is (801) 272-4111.

What is Amanda Wirth's specialty?

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

Is Amanda Wirth enrolled in Medicare?

Yes. Amanda Wirth is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Wirth accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Amanda Wirth 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 Amanda Wirth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.