Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL IVAN BARTLETT DO
NPI 1467944462
Internal Medicine - Sports Medicine in Cedar City, UT

Q: What is Samuel Bartlett's NPI number?

The NPI number for Samuel Bartlett is 1467944462. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Q: What is Samuel Bartlett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Bartlett was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 June 05, 2018PECOS Enrolled

1303 N MAIN ST STE 3C, CEDAR CITY, UT 84721(435) 868-5500(435) 868-5504 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 30, 2023, Aug 9, 2021 (2 updates tracked since 2021).

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About Dr. Samuel Ivan Bartlett Do NPPES

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

DR. SAMUEL IVAN BARTLETT DO (NPI 1467944462) is an individual sports medicine provider in Cedar City, Utah, licensed in Utah (14227446-8904) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Benning.

NPPES Registry Identity

NPI1467944462

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameDR. SAMUEL IVAN BARTLETTCredential: DO

Location Address1303 N MAIN ST STE 3CCedar City, UT 84721-9746

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(435) 868-5500

Fax(435) 868-5504

Sole ProprietorNo

Enumeration DateJune 5, 2018

Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration

NPPES CertifiedOctober 19, 2026

✔ NPI 1467944462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

License✔ Licensed in UT · 14227446-8904

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 02005810A (IN)

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 02005810A (IN)

1303 N MAIN ST STE 3C, Cedar City, UT 84721

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Secondary Practice Location 1

Location 16600 Van Aalst BlvdFort Benning, GA 31905-2102 · Phone (762) 408-2273 · Fax (762) 408-8103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Ivan Bartlett Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$16.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$81.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN GREGORY PENBERTHY DO

Obstetrics & Gynecology