DR. THOMAS LYLE GETHIN-JONES M.D.
NPI 1407200322
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since April 17, 2016PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
501 S CHIPETA WAY, DEPARTMENT OF PSYCHIATRY, SALT LAKE CITY, UT 84108(801) 587-8626 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2021, Oct 15, 2021 (2 updates tracked since 2021).

About Dr. Thomas Lyle Gethin-jones M.d. NPPES

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

DR. THOMAS LYLE GETHIN-JONES M.D. (NPI 1407200322) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (10484566-1205) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407200322
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THOMAS LYLE GETHIN-JONESCredential: M.D.
Location Address501 S CHIPETA WAY, DEPARTMENT OF PSYCHIATRYSalt Lake City, UT 84108-1222
Mailing Address501 S Chipeta Way, Department Of PsychiatrySalt Lake City, UT 84108-1222 · (801) 587-8626
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 17, 2016
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1407200322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 10484566-1205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
501 S CHIPETA WAY, Salt Lake City, UT 84108

Accepted Insurance

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

Dr. Thomas Lyle Gethin-jones M.d. 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 ID4688930217
PECOS Enrollment IDI20200619001152
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

3

Medicare enrollment records show Thomas Gethin-jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neuromuscular Medicine
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 338 clinicians in this Medicare group
Psychiatry
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
Child & Adolescent Psychiatry
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 111 clinicians in this Medicare group

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
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.

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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Clinic/Center (Adolescent and Children Mental Health)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Counselor (Mental Health)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Registered Nurse
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Counselor (Mental Health)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108

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 Thomas Gethin-jones's NPI number?

The NPI number for Thomas Gethin-jones is 1407200322. It was assigned to this individual provider in the NPPES registry on April 17, 2016.

Where is Thomas Gethin-jones located?

Thomas Gethin-jones practices at 501 S Chipeta Way Department Of Psychiatry, Salt Lake City, UT 84108. The listed phone number is (801) 587-8626.

What is Thomas Gethin-jones's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thomas Gethin-jones enrolled in Medicare?

Yes. Thomas Gethin-jones 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 Thomas Gethin-jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gethin-jones reassigns Medicare benefits to 3 organizations: University Of Utah Acuity Care Services (Salt Lake City, UT), University Of Utah Behavioral Health Services (Salt Lake City, UT) and University Of Utah Pediatric Behavioral Health Services (Salt Lake City, UT). 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 Thomas Gethin-jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Gethin-jones accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Thomas Gethin-jones 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 Thomas Gethin-jones affiliated with any hospitals?

According to CMS data, Thomas Gethin-jones is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Thomas Gethin-jones was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.