BLAKE C. MORTENSON M.D.
NPI 1427056860
Radiology - Diagnostic Radiology in Logan, UT

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Blake C. Mortenson M.d. NPPES

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

BLAKE C. MORTENSON M.D. (NPI 1427056860) is an individual diagnostic radiology provider in Logan, Utah, licensed in Utah (48375961205) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Utah School Of Medicine (1992).

NPPES Registry Identity

NPI1427056860
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBLAKE C. MORTENSONCredential: M.D.
Location Address1400 N 500 ELogan, UT 84341-2455
Mailing AddressPo Box 1108Bountiful, UT 84011-1108 · (801) 296-2113 · Fax (801) 296-1715
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1992
Enumeration DateJuly 11, 2005
Last NPPES UpdateApril 20, 2015
NPI 1427056860 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 · 48375961205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1400 N 500 E, Logan, UT 84341

Other Identifiers 8

Medicaid118743100WY
Medicare PIN005546907UT
Medicaid806638500ID
Medicare PINP00334655ID
MedicaidD4474UT
Medicare UPING01709
Medicare PIN1107470ID
Medicare PINP00023762UT

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

Blake C. Mortenson 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 ID4981508009
PECOS Enrollment IDI20101105000721
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 43

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
212 services212 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
212 services212 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
174 services153 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
131 services129 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
128 services120 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
91 services91 patients

Hospital Affiliations CMS Care Compare 3

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Bear River Valley Hospital

Acute Care Hospitals · Tremonton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460039
Location905 North 1000 WestTremonton, UT 84337 · Box Elder County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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.

Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Obstetrics & Gynecology
1400 N 500 E
LOGAN, UT 84341
Preventive Medicine (Undersea and Hyperbaric Medicine)
1400 N 500 E
LOGAN, UT 84341
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Pathology (Anatomic Pathology & Clinical Pathology)
1400 N 500 E
LOGAN, UT 84341
Physical Therapist
1400 N 500 E
LOGAN, UT 84341

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 Blake Mortenson's NPI number?

The NPI number for Blake Mortenson is 1427056860. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Blake Mortenson located?

Blake Mortenson practices at 1400 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-1000.

What is Blake Mortenson's specialty?

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

Is Blake Mortenson enrolled in Medicare?

Yes. Blake Mortenson 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.

Is Blake Mortenson affiliated with any hospitals?

According to CMS data, Blake Mortenson is affiliated with Mckay-Dee Hospital, Logan Regional Hospital and Bear River Valley Hospital.

When was this NPI record last updated?

The NPPES record for Blake Mortenson was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.