DR. JOHN TYLER RATHBUN MD
NPI 1407380470
Internal Medicine - Pulmonary Disease in St George, UT

Q: What is John Rathbun's NPI number?

The NPI number for John Rathbun is 1407380470. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Q: What is John Rathbun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for John Rathbun was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment

1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790(435) 251-2600(435) 251-2610 Get Directions Write a Review

NPPES record last updated: July 2, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2021, May 9, 2017, Apr 17, 2017 (3 updates tracked since 2017).

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About Dr. John Tyler Rathbun Md NPPES

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

DR. JOHN TYLER RATHBUN MD (NPI 1407380470) is an individual pulmonary disease provider in St George, Utah, licensed in Utah (13390118-1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Grover C Dils Medical Center, and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1407380470

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JOHN TYLER RATHBUNCredential: MD

Location Address1380 E MEDICAL CENTER DRSt George, UT 84790-2123

Mailing Address1380 E Medical Center DrSt George, UT 84790-2123 · (435) 251-2600 · Fax (435) 251-2610

Phone(435) 251-2600

Fax(435) 251-2610

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2017

Enumeration DateApril 17, 2017

Last NPPES UpdateJuly 2, 20233 updates tracked since enumeration

NPPES CertifiedJuly 2, 2023

✔ NPI 1407380470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in UT · 13390118-1205

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 13390118-1205 (UT)

1380 E MEDICAL CENTER DR, St George, UT 84790

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Secondary Practice Location 1

Location 11501 N. Campbell AveTucson, AZ 85724-5030 · Phone (520) 626-6114 · Fax (520) 626-0032

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Dr. John Tyler Rathbun 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 ID4880965490

PECOS Enrollment IDI20230712001205

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 12

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

173 services98 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

141 services62 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

131 services130 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

127 services86 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

108 services107 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

97 services97 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services39 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

39 services39 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

34 services34 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

26 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Grover C Dils Medical Center

Critical Access Hospitals · Caliente, NV

OwnershipVoluntary non-profit - Private

CMS Certification Number291312

Location700 N Spring St, Box 1010-C-Adm BldgCaliente, NV 89008 · Lincoln County

Emergency services

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

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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.

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.

MRS. AMY COVINGTON WERRETT

Speech-Language Pathologist