DOUGLAS L. BROCKMEYER MD
NPI 1942390521
Neurological Surgery in Salt Lake City, UT

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
88.82/100
CMS Quality Rating
100 MARIO CAPECCHI DR, #1475, SALT LAKE CITY, UT 84113(801) 662-5349 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas L. Brockmeyer Md NPPES

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

DOUGLAS L. BROCKMEYER MD (NPI 1942390521) is an individual neurological surgery provider in Salt Lake City, Utah, licensed in Utah (178841-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1942390521
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDOUGLAS L. BROCKMEYERCredential: MD
Location Address100 MARIO CAPECCHI DR, #1475Salt Lake City, UT 84113-1103
Mailing Address100 Mario Capecchi Dr, #1475Salt Lake City, UT 84113-1103 · (801) 662-5349 · Fax (801) 662-5345
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 13, 2006
Last NPPES UpdateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
NPI 1942390521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in UT · 178841-1205
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113

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

Douglas L. Brockmeyer 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 ID9931237534
PECOS Enrollment IDI20100430000696
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.

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 84113 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

88.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.68
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.

Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 Douglas Brockmeyer's NPI number?

The NPI number for Douglas Brockmeyer is 1942390521. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Douglas Brockmeyer located?

Douglas Brockmeyer practices at 100 Mario Capecchi Dr #1475, Salt Lake City, UT 84113. The listed phone number is (801) 662-5349.

What is Douglas Brockmeyer's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Douglas Brockmeyer enrolled in Medicare?

Yes. Douglas Brockmeyer 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 Douglas Brockmeyer accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Douglas Brockmeyer 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 Douglas Brockmeyer affiliated with any hospitals?

According to CMS data, Douglas Brockmeyer is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Douglas Brockmeyer was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.