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JARED MICHAEL ROBERTS
NPI 1962031435
Family Medicine in Eagle Mountain, UT

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005(801) 789-5566(801) 642-2941 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2024, Apr 6, 2020 (2 updates tracked since 2020).

About Jared Michael Roberts NPPES

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

JARED MICHAEL ROBERTS (NPI 1962031435) is an individual family medicine provider in Eagle Mountain, Utah, licensed in Utah (13953401-1205) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1962031435
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJARED MICHAEL ROBERTS
Location Address3943 E PONY EXPRESS PKWY STE 120Eagle Mountain, UT 84005-5543
Mailing Address275 W 200 NLindon, UT 84042-5009 · (801) 796-1333 · Fax (801) 796-0625
Phone(801) 789-5566
Fax(801) 642-2941
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1962031435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 13953401-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 13953401-1205 (UT)
3943 E PONY EXPRESS PKWY STE 120, Eagle Mountain, UT 84005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Michael Roberts 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 ID9133542467
PECOS Enrollment IDI20240813003991
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.

Medicare Billing Reassignment

Medicare enrollment records show Jared Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Family Medical - Eagle Mountain
Same address
Family Medicine
3943 E PONY EXPRESS PKWY STE 120
Eagle Mountain, UT 84005
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Premier Family Medical
  • 83 clinicians in this Medicare group
NPI 1043762479 (801) 756-3511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84005 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 3

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

PREMIER FAMILY MEDICAL - EAGLE MOUNTAIN
Family Medicine
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Utah County (801) 756-3511
BRIAN LEE SIMMONS FNP-C
Nurse Practitioner
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-5566
CAMI JO WATT PA-C
Physician Assistant
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-5566

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 Jared Roberts's NPI number?

The NPI number for Jared Roberts is 1962031435. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Jared Roberts located?

Jared Roberts practices at 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005. The listed phone number is (801) 789-5566.

What is Jared Roberts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jared Roberts enrolled in Medicare?

Yes. Jared Roberts 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.

Which organization bills Medicare for Jared Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Roberts reassigns Medicare benefits to Premier Family Medical - Eagle Mountain (Eagle Mountain, UT). The 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 Jared Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Roberts accept?

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

According to CMS data, Jared Roberts is affiliated with American Fork Hospital and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Jared Roberts was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.