MATTHEW HOLBROOK MD
NPI 1962962878
Radiology - Diagnostic Radiology in Salt Lake City, UT
About Matthew Holbrook Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW HOLBROOK MD (NPI 1962962878) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (14212996-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Matthew Holbrook 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Holbrook reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84104
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Illinois enrollment
- 228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84102
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 Matthew Holbrook's NPI number?
The NPI number for Matthew Holbrook is 1962962878. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Matthew Holbrook located?
Matthew Holbrook practices at 389 S 900 E, Salt Lake City, UT 84102. The listed phone number is (385) 282-2205.
What is Matthew Holbrook's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Matthew Holbrook enrolled in Medicare?
Yes. Matthew Holbrook 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 organizations bill Medicare for Matthew Holbrook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Holbrook reassigns Medicare benefits to 2 organizations: Ihc Health Services (Salt Lake City, UT) and Specialists In Medical Imaging Sc (Olympia Fields, IL). Each 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 Matthew Holbrook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Holbrook was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Matthew Holbrook, MD · NPI 1962962878
Diagnostic Radiology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1962962878 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 14212996-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 389 S 900 E, Salt Lake City, UT 84102-2310
- **Phone:** (385) 282-2205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services (NPI 1639294721, Salt Lake City, UT); Specialists In Medical Imaging Sc (NPI 1841687951, Olympia Fields, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** November 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962962878) · Data from the CMS NPPES public registry.