JOHN EDWARD TEDDY WITBECK MD
NPI 1972522316
Family Medicine in Salt Lake City, UT
About John Edward Teddy Witbeck Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN EDWARD TEDDY WITBECK MD (NPI 1972522316) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (2740011205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
John Edward Teddy Witbeck 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 Reassignment
Medicare enrollment records show John Witbeck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84109
- Reassigned Medicare billing, Utah enrollment
- 30 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 13
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 84121 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 84121
COTTONWOOD HEIGHTS, UT 84121
SALT LAKE CITY, UT 84121
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 John Witbeck's NPI number?
The NPI number for John Witbeck is 1972522316. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is John Witbeck located?
John Witbeck practices at 6360 S 3000 E Ste 100, Salt Lake City, UT 84121. The listed phone number is (801) 365-1032.
What is John Witbeck's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Witbeck enrolled in Medicare?
Yes. John Witbeck 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 John Witbeck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Witbeck reassigns Medicare benefits to Foothill Clinic, LLC (Salt Lake City, 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 John Witbeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Witbeck accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list John Witbeck 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 John Witbeck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John Edward Teddy Witbeck, MD · NPI 1972522316
Family Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1972522316 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2740011205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 6360 S 3000 E, STE 100, Salt Lake City, UT 84121-6923
- **Phone:** (801) 365-1032 · **Fax:** (801) 365-1033
## 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:** Foothill Clinic, LLC (NPI 1407947005, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN F82164 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1972522316) · Data from the CMS NPPES public registry.