THEODORE A. HARTRIDGE DO
NPI 1932669686
Emergency Medicine in Salt Lake City, UT

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132(801) 581-2272 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2022, Aug 27, 2020, Mar 20, 2019 (3 updates tracked since 2019).

About Theodore A. Hartridge Do NPPES

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

THEODORE A. HARTRIDGE DO (NPI 1932669686) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (11907384-1204) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1932669686
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEODORE A. HARTRIDGECredential: DO
Location Address30 N 1900 E RM 1C026Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 1c026Salt Lake City, UT 84132-0002 · (801) 581-2272
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateAugust 12, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1932669686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in UT · 11907384-1204
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.

30 N 1900 E RM 1C026, Salt Lake City, UT 84132

Accepted 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

Theodore A. Hartridge Do 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 ID4082032891
PECOS Enrollment IDI20220712000617, I20220715001109
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
106 services101 patients
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.
88 services87 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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 84132 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

Other Providers at the Same Location NPPES 17

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

Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932669686, enumerated as an "individual" on March 20, 2019.

The provider is located at 30 N 1900 E RM 1C026 SALT LAKE CITY, UT 84132 and the phone number is (801) 581-2272.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.

Theodore Hartridge is affiliated with: UNIVERSITY OF UTAH HOSPITALS AND CLINICS.