1. Home
  2. Directory
  3. Utah
  4. Murray
  5. Internal Medicine
  6. NPI Profile

JESSE P. WACKERBARTH MD
NPI 1902303613
Internal Medicine in Murray, UT

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-7000 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Oct 8, 2024, Mar 21, 2023 and 2 more (5 updates tracked since 2018).

About Jesse P. Wackerbarth Md NPPES

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

JESSE P. WACKERBARTH MD (NPI 1902303613) is an individual internal medicine provider in Murray, Utah, licensed in Utah (13312672-1205) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902303613
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJESSE P. WACKERBARTHCredential: MD
Location Address5121 S COTTONWOOD STMurray, UT 84107-5701
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 507-7000
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateJanuary 29, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1902303613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in UT · 13312672-1205✔ Licensed in WA · MD61094335
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 13312672-1205 (UT)
5121 S COTTONWOOD ST, Murray, UT 84107
Open in Google Maps ↗

Secondary Practice Locations 2

Location 126 N 1900 E Rm 701Salt Lake City, UT 84132-0002 · Phone (801) 581-2121
Location 21959 NE Pacific StSeattle, WA 98195-0001 · Phone (425) 931-7872

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Jesse P. Wackerbarth 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 ID5395154702
PECOS Enrollment IDI20240920000375
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

ANASTASIYA MANKOUSKI MD
Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-7000
TARYN A. YOUNG MD
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-4384
NATHANIEL ALAN KELLER DPT
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (805) 798-2901
JENNIFER LAWLEY RN
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
DR. JARED DAVID MILLER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-3500
JONATHAN MIDDLEMISS PA-C
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3460
RICHA PARAG SHETH MD
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
ANDREW SCOTT BIESINGER NP
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3462

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 Jesse Wackerbarth's NPI number?

The NPI number for Jesse Wackerbarth is 1902303613. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Jesse Wackerbarth located?

Jesse Wackerbarth practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-7000.

What is Jesse Wackerbarth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jesse Wackerbarth enrolled in Medicare?

Yes. Jesse Wackerbarth 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 Jesse Wackerbarth accept?

Health plans from Select Health list Jesse Wackerbarth 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 Jesse Wackerbarth affiliated with any hospitals?

According to CMS data, Jesse Wackerbarth is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Jesse Wackerbarth was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.