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DAVID GORDON LIDDLE MD
NPI 1922251982
Emergency Medicine - Sports Medicine in Logan, UT

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Gordon Liddle Md NPPES

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

DAVID GORDON LIDDLE MD (NPI 1922251982) is an individual sports medicine provider in Logan, Utah, licensed in Utah (7153530-1205) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of University Of Utah School Of Medicine (2007).

NPPES Registry Identity

NPI1922251982
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameDAVID GORDON LIDDLECredential: MD
Location Address1350 N 500 ELogan, UT 84341-2400
Mailing Address1350 N 500 ELogan, UT 84341-2400
Phone(435) 716-2800
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2007
Enumeration DateNovember 3, 2008
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1922251982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in UT · 7153530-1205
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 7153530-1205 (UT)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD46150 (TN)
1350 N 500 E, Logan, UT 84341
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

David Gordon Liddle 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 ID1850579087
PECOS Enrollment IDI20191031000845
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 7

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.

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.
67 services41 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
28 services14 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
23 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services17 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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.

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.

ERNEST BRETT HORSLEY DO
Obstetrics & Gynecology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1920
GREGG ARTHUR MARSHALL MD
Surgery
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1950
IHC HEALTH SERVICES INC
Pharmacy (Community/Retail Pharmacy)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1521
MR. TYSON ANDERSON CLUFF PA-C
Physician Assistant
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-2800
HAROLD VONK M.D.
Internal Medicine (Rheumatology)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1980
ROBERT M NASH MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
AGNIESZKA M SZPUNAR MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
ANDREW JAMES GOATES MD
Otolaryngology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 752-1693

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 David Liddle's NPI number?

The NPI number for David Liddle is 1922251982. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is David Liddle located?

David Liddle practices at 1350 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-2800.

What is David Liddle's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is David Liddle enrolled in Medicare?

Yes. David Liddle 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 David Liddle accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list David Liddle 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 David Liddle affiliated with any hospitals?

According to CMS data, David Liddle is affiliated with Logan Regional Hospital.

When was this NPI record last updated?

The NPPES record for David Liddle was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.