DR. JONATHAN BRAD EGBERT M.D.
NPI 1972801397
Family Medicine in Provo, UT

Q: What is Jonathan Egbert's NPI number?

The NPI number for Jonathan Egbert is 1972801397. It was assigned to this individual provider in the NPPES registry on March 9, 2011. The provider is also known as Mr. Jonathan Brad Egbert D.C..

Q: What is Jonathan Egbert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Egbert was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 09, 2011PECOS EnrolledAccepts Medicare Assignment

1055 N 500 W, PROVO, UT 84604(801) 354-8225(801) 418-0941 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, Apr 25, 2022, Jul 18, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Jonathan Brad Egbert M.d. NPPES

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

DR. JONATHAN BRAD EGBERT M.D. (NPI 1972801397) is an individual family medicine provider in Provo, Utah, licensed in Utah (14271352-1205) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972801397

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JONATHAN BRAD EGBERTCredential: M.D.

Location Address1055 N 500 WProvo, UT 84604-3305

Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(801) 354-8225

Fax(801) 418-0941

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 9, 2011

Last NPPES UpdateMay 15, 20266 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1972801397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 14271352-1205

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.

1055 N 500 W, Provo, UT 84604

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Other Names 1

Former Name (1)Mr. Jonathan Brad Egbert D.c.

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

Dr. Jonathan Brad Egbert M.d. 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 ID9436323300

PECOS Enrollment IDI20181105003429, I20190816000948

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 Reassignments

Medicare enrollment records show Jonathan Egbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Revere Health PC

Same address

Multi-Specialty

1055 N 500 W
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
414 clinicians in this Medicare group

NPI 1093764805 (801) 429-8000

Centennial Medical Group East, LLC

626 mi

Rural Health

145 NE BROADWAY ST
Myrtle Creek, OR 97457

Reassigned Medicare billing, Oregon enrollment
61 clinicians in this Medicare group

NPI 1699103598 (541) 863-3146

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 4

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

135 services126 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

42 services40 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

38 services18 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

18 services17 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$47.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ASHLEY SAUNDERS

Family Medicine

1055 N 500 W
PROVO, UT 84604

Utah County (801) 812-5033

CRYSTAL C HUFFAKER FNP

Nurse Practitioner (Family)

1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604

Utah County (801) 357-7327

SCOTT DELAFIELD EVANS MD

Orthopaedic Surgery (Hand Surgery)

1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604

Utah County (801) 373-7350

EVAN SCOTT NIELSEN MD

Orthopaedic Surgery

1055 N 500 W, STE 121
PROVO, UT 84604

Utah County (801) 373-7350

ROSANNE JOHNSON OLIVER FNP

Nurse Practitioner (Family)

1055 N 500 W, STE 205
PROVO, UT 84604

Utah County (801) 429-8095

LESLEE RONALD ADAMS NP

Nurse Practitioner (Family)

1055 N 500 W, STE 211
PROVO, UT 84604

Utah County (801) 357-7327

WYATT JAMES BOLES DO

Family Medicine

1055 N 500 W, BLDG A
PROVO, UT 84604

Utah County (801) 812-5033

DR. REX F RIPPLINGER MD

Internal Medicine

1055 N 500 W
PROVO, UT 84604

Utah County (801) 429-8000

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 Jonathan Egbert's NPI number?

The NPI number for Jonathan Egbert is 1972801397. It was assigned to this individual provider in the NPPES registry on March 9, 2011. The provider is also known as Mr. Jonathan Brad Egbert D.C..

Where is Jonathan Egbert located?

Jonathan Egbert practices at 1055 N 500 W, Provo, UT 84604. The listed phone number is (801) 354-8225.

What is Jonathan Egbert's specialty?

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

Is Jonathan Egbert enrolled in Medicare?

Yes. Jonathan Egbert 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 Jonathan Egbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Egbert reassigns Medicare benefits to 2 organizations: Revere Health PC (Provo, UT) and Centennial Medical Group East, LLC (Myrtle Creek, OR). 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 Jonathan Egbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Egbert accept?

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

According to CMS data, Jonathan Egbert is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Egbert was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.