ANDREW H BURGON PODIATRY LLC
NPI 1922569672
Podiatrist - Foot & Ankle Surgery in Farr West, UT
About Andrew H Burgon Podiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW H BURGON PODIATRY LLC (NPI 1922569672), doing business as Summit Foot And Ankle, is a healthcare organization registered as a foot & ankle surgery in Farr West, Utah and active in the NPI registry since March 2019. The organization lists Andrew Harris Burgon, Dpm/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew H Burgon Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrew H Burgon Podiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Andrew H Burgon Podiatry LLC's NPI number?
The NPI number for Andrew H Burgon Podiatry LLC is 1922569672. It was assigned to this organization in the NPPES registry on March 26, 2019. The provider is doing business as Summit Foot And Ankle.
Where is Andrew H Burgon Podiatry LLC located?
Andrew H Burgon Podiatry LLC is located at 1761 N 2000 W Ste 6, Farr West, UT 84404. The listed phone number is (801) 564-1562.
What is Andrew H Burgon Podiatry LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Andrew H Burgon Podiatry LLC enrolled in Medicare?
Yes. Andrew H Burgon Podiatry LLC is registered in the Medicare PECOS enrollment system.
When is Andrew H Burgon Podiatry LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Utah, Physician - Podiatry) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Andrew H Burgon Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Andrew H Burgon Podiatry LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Andrew H Burgon Podiatry LLC accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Andrew H Burgon Podiatry LLC 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.
When was this NPI record last updated?
The NPPES record for Andrew H Burgon Podiatry LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Andrew H Burgon Podiatry Llc · NPI 1922569672
Foot & Ankle Surgery organization in Farr West, Utah. Organization record, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1922569672 (Entity type: Organization)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Also known as:** Summit Foot And Ankle (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Andrew Burgon, DPM/OWNER
## Practice location
- **Address:** 1761 N 2000 W STE 6, Farr West, UT 84404-9541
- **Phone:** (801) 564-1562 · **Fax:** (801) 689-2594
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Utah, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922569672) · Data from the CMS NPPES public registry.