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DR. TOMAS E LISKUTIN MD
NPI 1770089005
Orthopaedic Surgery - Orthopaedic Trauma in Murray, UT

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
5316 S WOODROW ST STE 200, MURRAY, UT 84107(801) 747-1020(801) 747-1023 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Jul 24, 2023 (3 updates tracked since 2023).

About Dr. Tomas E Liskutin Md NPPES

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

DR. TOMAS E LISKUTIN MD (NPI 1770089005) is an individual orthopaedic trauma provider in Murray, Utah, licensed in Utah (13901333-1205) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1770089005
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameDR. TOMAS E LISKUTINCredential: MD
Location Address5316 S WOODROW ST STE 200Murray, UT 84107-5479
Mailing Address5316 S Woodrow St Ste 200Murray, UT 84107-5479 · (801) 747-1020 · Fax (801) 747-1023
Phone(801) 747-1020
Fax(801) 747-1023
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1770089005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in UT · 13901333-1205✔ Licensed in MO · 2023006696
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
5316 S WOODROW ST STE 200, Murray, UT 84107
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Secondary Practice Location 1

Location 14921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6A/6B/12ASaint Louis, MO 63110-1032 · Phone (314) 747-2551 · Fax (314) 747-2598

Other Identifiers 1

Medicaid200124796MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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

Dr. Tomas E Liskutin 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 ID1759638315
PECOS Enrollment IDI20241217001067
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 14

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

BRIAN W FUKUSHIMA MD
Orthopaedic Surgery (Sports Medicine)
5316 S WOODROW ST STE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020
BRADLEY W SMITH MD PC
Orthopaedic Surgery
5316 S WOODROW ST STE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020
DAVID CHRISTOPHER EVANS MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5316 S WOODROW ST STE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020
DAVID C EVANS, MD PC
Orthopaedic Surgery
5316 S WOODROW ST STE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020
TOMAS E LISKUTIN MD PC
Orthopaedic Surgery
5316 S WOODROW ST STE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020
TRAVIS J JONES, MD PC
Orthopaedic Surgery (Orthopaedic Trauma)
5316 S WOODROW ST STE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020
RUSSELL L NELSON MD
Orthopaedic Surgery
5316 S WOODROW ST STE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 747-1020
MITCHELL J ROHRBACK, MD PC
Orthopaedic Surgery
5316 S WOODROW ST STE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020

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 Tomas Liskutin's NPI number?

The NPI number for Tomas Liskutin is 1770089005. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Tomas Liskutin located?

Tomas Liskutin practices at 5316 S Woodrow St Ste 200, Murray, UT 84107. The listed phone number is (801) 747-1020.

What is Tomas Liskutin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Tomas Liskutin enrolled in Medicare?

Yes. Tomas Liskutin 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.

What insurance does Tomas Liskutin accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Tomas Liskutin 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 Tomas Liskutin affiliated with any hospitals?

According to CMS data, Tomas Liskutin is affiliated with Intermountain Medical Center and St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Tomas Liskutin was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.