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JERRY ANTONY HADLOCK CRNA
NPI 1487904298
Nurse Anesthetist, Certified Registered in Salem, UT

Active since September 19, 2012Accepts Medicare Assignment
70.76/100
CMS Quality Rating

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry Antony Hadlock Crna NPPES

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

JERRY ANTONY HADLOCK CRNA (NPI 1487904298) is an individual nurse anesthetist, certified registered in Salem, Utah, licensed in Utah (7091442-8900) and active in the NPI registry since September 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1487904298
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJERRY ANTONY HADLOCKCredential: CRNA
Location Address684 E 320 SSalem, UT 84653-8532
Mailing Address684 E 320 SSalem, UT 84653-8532 · (801) 615-3292
Phone(801) 615-3292
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 19, 2012
✔ NPI 1487904298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in UT · 7091442-8900✔ Licensed in UT · 7091442-4405
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
684 E 320 S, Salem, UT 84653
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Jerry Antony Hadlock Crna 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 ID7911158852
PECOS Enrollment IDI20121127000202

Medicare Billing Reassignments

3

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

Mountain View Anesthesia Lc
18 mi
Anesthesiology
750 W 800 N, TIMPANOGOS REGIONAL HOSPITAL
Orem, UT 84057
  • Reassigned Medicare billing, Utah enrollment
  • 73 clinicians in this Medicare group
NPI 1043249840 (801) 714-6000
Zion Eye Institute, Inc
227 mi
Ambulatory Surgical
1791 E 280 N
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group
NPI 1831182799 (435) 656-2020
Innovative Anesthesia Solutions PLLC
230 mi
Nurse Anesthetist, Certified Registered
585 E RIVERSIDE DR
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group
NPI 1730766098 (435) 673-8080

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 9

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
632 services510 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
101 services87 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
81 services76 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
79 services78 patients
Anesthesia for procedure on eye for corneal transplant 00144
Anesthesia for a corneal transplant numbs your eye to prevent discomfort during the procedure. It can be local (only affecting the eye area) or general (you're asleep). The choice depends on your overall health and the surgeon's recommendation. It's safe and monitored by a specialist.
18 services17 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84653 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
$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.

70.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality41.52
Improvement Activities40

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
86%29 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Jerry Hadlock's NPI number?

The NPI number for Jerry Hadlock is 1487904298. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Jerry Hadlock located?

Jerry Hadlock practices at 684 E 320 S, Salem, UT 84653. The listed phone number is (801) 615-3292.

What is Jerry Hadlock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jerry Hadlock enrolled in Medicare?

Yes. Jerry Hadlock 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 Jerry Hadlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Hadlock reassigns Medicare benefits to 3 organizations: Mountain View Anesthesia Lc (Orem, UT), Zion Eye Institute, Inc (St George, UT) and Innovative Anesthesia Solutions PLLC (St George, 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 Jerry Hadlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Hadlock accept?

Health plans from Select Health list Jerry Hadlock 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.

When was this NPI record last updated?

The NPPES record for Jerry Hadlock was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.