BRYSON MARK ROUNDY
NPI 1639752405
Physician Assistant in Ogden, UT

Active since April 30, 2021PECOS EnrolledAccepts Medicare Assignment
3895 HARRISON BLVD, OGDEN, UT 84403(801) 387-7678 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2022, Apr 30, 2021 (2 updates tracked since 2021).

About Bryson Mark Roundy NPPES

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

BRYSON MARK ROUNDY (NPI 1639752405) is an individual physician assistant in Ogden, Utah, licensed in Utah (13005528-1206) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains a secondary practice location in West Haven.

NPPES Registry Identity

NPI1639752405
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYSON MARK ROUNDY
Location Address3895 HARRISON BLVDOgden, UT 84403-2312
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 30, 2021
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1639752405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 13005528-1206
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3895 HARRISON BLVD, Ogden, UT 84403

Secondary Practice Location 1

Location 13744 W 3550 SWest Haven, UT 84401-9320 · Phone (801) 389-6200

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bryson Mark Roundy 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 ID2769850882
PECOS Enrollment IDI20221122000403
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
3895 HARRISON BLVD
OGDEN, UT 84403
Specialist/Technologist (Athletic Trainer)
3895 HARRISON BLVD
OGDEN, UT 84403
Physical Therapy Assistant
3895 HARRISON BLVD
OGDEN, UT 84403
Pharmacy (Community/Retail Pharmacy)
3895 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner (Family)
3895 HARRISON BLVD
OGDEN, UT 84403
Pharmacist
3895 HARRISON BLVD, C/O 1ST FLOOR PHARMACY
OGDEN, UT 84403
Physical Therapist (Orthopedic)
3895 HARRISON BLVD
OGDEN, UT 84403
Physical Therapist
3895 HARRISON BLVD
OGDEN, UT 84403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639752405, enumerated as an "individual" on April 30, 2021.

The provider is located at 3895 HARRISON BLVD OGDEN, UT 84403 and the phone number is (801) 387-7678.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.

Bryson Roundy is affiliated with: MCKAY-DEE HOSPITAL.