MARY GRETCHEN MOOERS MD
NPI 1609823889
Internal Medicine - Infectious Disease in Salt Lake City, UT

Active since May 31, 2006PECOS Enrolled
324 TENTH AVE, SUITE # 160, SALT LAKE CITY, UT 84103(801) 408-5151(801) 408-3598 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Gretchen Mooers Md NPPES

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

MARY GRETCHEN MOOERS MD (NPI 1609823889) is an individual infectious disease provider in Salt Lake City, Utah, licensed in Utah (173770-1205) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609823889
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMARY GRETCHEN MOOERSCredential: MD
Location Address324 TENTH AVE, SUITE # 160Salt Lake City, UT 84103-2853
Mailing Address324 Tenth Ave, Suite # 160Salt Lake City, UT 84103-2853 · (801) 408-5151 · Fax (801) 408-3598
Fax(801) 408-3598
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609823889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in UT · 173770-1205
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
324 TENTH AVE, Salt Lake City, UT 84103

Other Identifiers 9

Other9200054UT · Uhc
Other00558UT · Ihc
Other2748UT · Deseret Mutual
Other71116UT · Pehp #
Other357645UT · Molina #
Other274UT · Tricare #
Medicaid2099000UT
Other224999UT · Altius Provider #
Other870623071M01UT · Educators Mutual #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Gretchen Mooers Md 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.

Medicare Billing Reassignment

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

Multi-Specialty
324 10TH AVE
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1063941250 (Utah)
  • 1,729 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84103 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 2

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

Internal Medicine (Cardiovascular Disease)
324 TENTH AVE, 206
SALT LAKE CITY, UT 84103
Colon & Rectal Surgery
324 TENTH AVE, SUITE 280
SALT LAKE CITY, UT 84103

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 Mary Mooers's NPI number?

The NPI number for Mary Mooers is 1609823889. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Mary Mooers located?

Mary Mooers practices at 324 Tenth Ave Suite # 160, Salt Lake City, UT 84103. The listed phone number is (801) 408-5151.

What is Mary Mooers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Mary Mooers enrolled in Medicare?

Yes. Mary Mooers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Mooers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mooers reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, 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 Mary Mooers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Mooers was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.