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DR. ROCKY P.J. JEDICK M.D.
NPI 1689802803
Emergency Medicine in Salt Lake City, UT

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
868 S MCCLELLAND ST, SALT LAKE CITY, UT 84102(801) 252-5262 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Jun 6, 2024, Oct 21, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Rocky P.j. Jedick M.d. NPPES

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

DR. ROCKY P.J. JEDICK M.D. (NPI 1689802803) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (9550294-1205) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, and is a graduate of Wright State University Boonshoft School Of Medicine (2009).

NPPES Registry Identity

NPI1689802803
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ROCKY P.J. JEDICKCredential: M.D.
Location Address868 S MCCLELLAND STSalt Lake City, UT 84102-3750
Mailing Address2206 Halsey CirDavis, CA 95618-6121 · (614) 805-5127
Phone(801) 252-5262
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1689802803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in UT · 9550294-1205✔ Licensed in NV · 17886
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
868 S MCCLELLAND ST, Salt Lake City, UT 84102
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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

Dr. Rocky P.j. Jedick 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.

PECOS PAC ID7012211105
PECOS Enrollment IDI20180727002268, I20180928001676
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 Reassignments

2

Medicare enrollment records show Rocky Jedick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
1.3 mi
Sports Medicine
555 FOOTHILL DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1164826665 (801) 587-6336
Vituity-Nevada Medical Services Koury & Partners PC
359 mi
Emergency Medicine
1550 W CRAIG RD STE 100
North Las Vegas, NV 89032
  • Reassigned Medicare billing, Nevada enrollment
  • 100 clinicians in this Medicare group
NPI 1225878085 (702) 777-3615

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
113 services112 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
67 services65 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services43 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Rose Dominican Hospitals - Rose De Lima

Acute Care Hospitals · Henderson, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number290012
Location102 E Lake Mead DrHenderson, NV 89015 · Clark County
Emergency services

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290053
Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - North Las Vegas

Acute Care Hospitals · North Las Vegas, NV
OwnershipProprietary
CMS Certification Number290058
Location1550 W Craig RanchNorth Las Vegas, NV 89031 · Clark County
Emergency services

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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
$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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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 Rocky Jedick's NPI number?

The NPI number for Rocky Jedick is 1689802803. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Rocky Jedick located?

Rocky Jedick practices at 868 S Mcclelland St, Salt Lake City, UT 84102. The listed phone number is (801) 252-5262.

What is Rocky Jedick's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rocky Jedick enrolled in Medicare?

Yes. Rocky Jedick 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 Rocky Jedick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rocky Jedick reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and Vituity-Nevada Medical Services Koury & Partners PC (North Las Vegas, NV). 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 Rocky Jedick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rocky Jedick affiliated with any hospitals?

According to CMS data, Rocky Jedick is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, Saint Rose Dominican Hospitals - Siena Campus, Saint Rose Dominican Hospitals - San Martin Campus, Saint Rose Dominican Hospitals - North Las Vegas and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Rocky Jedick was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.