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JUSTIN D ATHERTON DO
NPI 1386876167
Surgery in Draper, UT

Active since August 13, 2009PECOS EnrolledAccepts Medicare Assignment
96 E KIMBALLS LN STE 306, DRAPER, UT 84020(801) 999-2432 Get Directions Write a Review

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

About Justin D Atherton Do NPPES

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

JUSTIN D ATHERTON DO (NPI 1386876167) is an individual surgery provider in Draper, Utah, licensed in Utah (8986480-1204) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Lone Peak Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386876167
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUSTIN D ATHERTONCredential: DO
Location Address96 E KIMBALLS LN STE 306Draper, UT 84020-5021
Mailing AddressPo Box 100253Atlanta, GA 30384-0253
Phone(801) 999-2432
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 13, 2009
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1386876167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in UT · 8986480-1204
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
96 E KIMBALLS LN STE 306, Draper, UT 84020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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 and accepts Medicare assignment

Justin D Atherton Do 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 ID5395926703
PECOS Enrollment IDI20140612001996
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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.

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 Justin Atherton's NPI number?

The NPI number for Justin Atherton is 1386876167. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Justin Atherton located?

Justin Atherton practices at 96 E Kimballs Ln Ste 306, Draper, UT 84020. The listed phone number is (801) 999-2432.

What is Justin Atherton's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Justin Atherton enrolled in Medicare?

Yes. Justin Atherton 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.

What insurance does Justin Atherton accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Justin Atherton 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.

Is Justin Atherton affiliated with any hospitals?

According to CMS data, Justin Atherton is affiliated with Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Justin Atherton was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.