JEREMY WALLENTINE M.D.
NPI 1619130036
Pathology - Anatomic Pathology & Clinical Pathology in Slc, UT
About Jeremy Wallentine M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY WALLENTINE M.D. (NPI 1619130036) is an individual anatomic pathology & clinical pathology provider in Slc, Utah, licensed in Utah (3289491205) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
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
Jeremy Wallentine 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Wallentine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 31 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.
Areas of Expertise CMS Part B claims 22
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Utah Valley Hospital
Acute Care Hospitals · Provo, UTMckay-Dee Hospital
Acute Care Hospitals · Ogden, UTLds Hospital
Acute Care Hospitals · Salt Lake City, UTIntermountain Medical Center
Acute Care Hospitals · Murray, UTLogan Regional Hospital
Acute Care Hospitals · Logan, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jeremy Wallentine's NPI number?
The NPI number for Jeremy Wallentine is 1619130036. It was assigned to this individual provider in the NPPES registry on July 7, 2008.
Where is Jeremy Wallentine located?
Jeremy Wallentine practices at 2913 Garden Meadows Cv, Slc, UT 84106. The listed phone number is (801) 865-2442.
What is Jeremy Wallentine's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Jeremy Wallentine enrolled in Medicare?
Yes. Jeremy Wallentine 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 Jeremy Wallentine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Wallentine reassigns Medicare benefits to Utah Pathology 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 Jeremy Wallentine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jeremy Wallentine affiliated with any hospitals?
According to CMS data, Jeremy Wallentine is affiliated with Utah Valley Hospital, Mckay-Dee Hospital, Lds Hospital, Intermountain Medical Center and Logan Regional Hospital.
When was this NPI record last updated?
The NPPES record for Jeremy Wallentine was last updated on November 9, 2011. 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.