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CLIFTON HARTWELL MD
NPI 1386104297
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132(801) 581-2868 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clifton Hartwell Md NPPES

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

CLIFTON HARTWELL MD (NPI 1386104297) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (11901151-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Ohio State University College Of Medicine (2019).

NPPES Registry Identity

NPI1386104297
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCLIFTON HARTWELLCredential: 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 CMSOhio State University College Of MedicineGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateAugust 21, 2020
NPPES CertifiedAugust 21, 2020
✔ NPI 1386104297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 11901151-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
30 N 1900 E RM 1A071, Salt Lake City, UT 84132
Open in Google Maps ↗

Other Identifiers 1

Medicaid910000647785OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clifton Hartwell 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 ID4688908692
PECOS Enrollment IDI20240916003691, I20260226002185
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Clifton Hartwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services
0.2 mi
Oncology
2000 CIRCLE OF HOPE DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1336263888 (801) 442-1400
Uintah Basin Medical Center
103 mi
General Acute Care Hospital
250 W 300 N
Roosevelt, UT 84066
  • Reassigned Medicare billing, Utah enrollment
  • 94 clinicians in this Medicare group
NPI 1871556217 (435) 722-6163
Tellica Imaging, LLC
300 mi
Radiology
8505 W OVERLAND RD
Boise, ID 83709
  • Reassigned Medicare billing, Utah enrollment
  • 116 clinicians in this Medicare group
NPI 1760197198 (208) 417-5100
Tellica Imaging - Washington LLC
686 mi
Radiology
421 EAST MAIN STREET
Auburn, WA 98002
  • Reassigned Medicare billing, Washington enrollment
  • 89 clinicians in this Medicare group
NPI 1215887401 (253) 204-2530

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

Hospital Affiliations CMS Care Compare 5

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

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.

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.

DR. ERIKA J. SCHNEBLE DO, MA
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
WEI LIN OUYANG MD
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. LAURA M. MANN M.D.
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2766
DAVID L. RIESBERG MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868
KELLY DAHLSTROM D.O.
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7553
DR. ADRIENE EASTAWAY MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. MICHAEL PETERSON MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868
SPENCER J. BAKER MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868

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 Clifton Hartwell's NPI number?

The NPI number for Clifton Hartwell is 1386104297. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Clifton Hartwell located?

Clifton Hartwell practices at 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132. The listed phone number is (801) 581-2868.

What is Clifton Hartwell's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Clifton Hartwell enrolled in Medicare?

Yes. Clifton Hartwell 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.

Which organizations bill Medicare for Clifton Hartwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clifton Hartwell reassigns Medicare benefits to 4 organizations: Ihc Health Services (Salt Lake City, UT), Uintah Basin Medical Center (Roosevelt, UT), Tellica Imaging, LLC (Boise, ID) and Tellica Imaging - Washington LLC (Auburn, WA). Each 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 Clifton Hartwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Clifton Hartwell affiliated with any hospitals?

According to CMS data, Clifton Hartwell is affiliated with Mckay-Dee Hospital, Cedar City Hospital, Intermountain Medical Center, Riverton Hospital and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Clifton Hartwell was last updated on August 21, 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.