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ALYSSA LETTICH MD
NPI 1518194455
Psychiatry & Neurology - Neurology in Murray, UT

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
5171 S COTTONWOOD ST STE 135, MURRAY, UT 84107(801) 314-5500 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2025, Sep 6, 2021 (2 updates tracked since 2021).

About Alyssa Lettich Md NPPES

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

ALYSSA LETTICH MD (NPI 1518194455) is an individual neurology provider in Murray, Utah, licensed in Utah (367245-1205) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of University Central Del Caribe Escuela De Medicina (2005).

NPPES Registry Identity

NPI1518194455
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameALYSSA LETTICHCredential: MD
Location Address5171 S COTTONWOOD ST STE 135Murray, UT 84107-5704
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 314-5500
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2005
Enumeration DateJune 18, 2009
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1518194455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in UT · 367245-1205
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5171 S COTTONWOOD ST STE 135, Murray, UT 84107
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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

Alyssa Lettich 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 ID2264616978
PECOS Enrollment IDI20141016001935
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 Reassignment

Medicare enrollment records show Alyssa Lettich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Urology
5171 S COTTONWOOD ST, STE 720
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1306977798 (801) 507-3400

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 7

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
28,370 services53 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
150 services54 patients
Injection of anesthetic agent and/or steroid into face nerve 64400
This procedure involves injecting a numbing agent and/or steroid into a facial nerve. It's typically done to relieve pain or inflammation. The injection targets specific nerves, helping to decrease discomfort and promote healing.
53 services12 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.
36 services29 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.
34 services27 patients
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405
This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.
18 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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.

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 Alyssa Lettich's NPI number?

The NPI number for Alyssa Lettich is 1518194455. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Alyssa Lettich located?

Alyssa Lettich practices at 5171 S Cottonwood St Ste 135, Murray, UT 84107. The listed phone number is (801) 314-5500.

What is Alyssa Lettich's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Alyssa Lettich enrolled in Medicare?

Yes. Alyssa Lettich 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 organization bills Medicare for Alyssa Lettich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Lettich reassigns Medicare benefits to Ihc Health Services Inc (Murray, UT). The 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 Alyssa Lettich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Lettich accept?

Health plans from Select Health list Alyssa Lettich 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 Alyssa Lettich affiliated with any hospitals?

According to CMS data, Alyssa Lettich is affiliated with Lds Hospital, Intermountain Medical Center and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Alyssa Lettich was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.