Active NPI
Lee Dupont Trotter, DO
- Pediatric Surgery Physician
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 10975405-1204
- Practice address
- 750 W 800 N Ste 330
Orem, UT 84057-3660 - Phone
- (801) 714-6404
- Fax
- (801) 714-6401
- NPI assigned
- Mar 14, 2006
- Last updated
- Aug 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4681 | SD | |
| Pediatric Surgery Physician | 2086S0120X | 10975405-1204 | UT | Primary |
Addresses
Primary practice location
750 W 800 N Ste 330
Orem, UT 84057-3660
Mailing address
750 W 800 N Ste 330
Orem, UT 84057-3660
Phone (801) 714-6404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- College of Osteo Med of the Pacific at Pomona, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511
700 W 800
Suite 220
Orem, UT 84057-6316
Phone (801) 714-6404
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10975405-1204 | UT | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| St Joseph Hospital LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Spokane Surgeons PLLC | Past | Accepting new patients | |
| St. Joseph Hospital LLC | Past | Accepting new patients | |
| Rapid City Indian Health Service Hospital | Past | Accepting new patients | |
| Utah Weight Loss, LLC | Past | Accepting new patients | |
| Richard a. Bessette, M.D., LTD | Surgery | Past | Accepting new patients |
| Tracy a Berg M.D., P.S. | Surgery | Past | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
380 E 1500 S
Ste 202
Heber City, UT 84032
Phone (435) 657-2711
2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
750 W 800 N
Ste 330
Orem, UT 84057
Phone (801) 714-6401
900 Round Valley Dr
Ste 200
Park City, UT 84060
Phone (435) 658-7246
1000 E 100 N
Payson, UT 84651
Phone (801) 465-7000
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1067 N 500 W
Provo, UT 84604
Phone (801) 356-6002
1157 N 300 W
Ste 201
Provo, UT 84604
Phone (801) 357-1200
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
306 W River Bend Ln
Sundance, UT 84604
Phone (801) 226-5838
Interoperability endpoints
- lee.trotter.1@16883.direct.athenahealth.com
- lee.trotterdo.p107@direct.mednax.nextgenshare.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba East Falls Orthopedics
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1902841893
-
dba Behavioral Health Access - MKDH
- Psychiatry Physician
- Ogden, UT
- NPI 1154888907
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Dietary Manager
- Provo, UT
- NPI 1720447766
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1316900327
-
- Specialist
- Spokane, WA
- NPI 1043308133
-
dba St. Joseph Regional Medical Center
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
-
- Surgery Physician
- Spokane, WA
- NPI 1952527111
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Timpanogos Regional Hospital
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
-
dba St. Joseph Regional Medical Center
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1013986157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 W 800 N STE 330",
"city": "OREM",
"state": "UT",
"postal_code": "840573660",
"telephone_number": "801-714-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W 800 N STE 330",
"city": "OREM",
"state": "UT",
"postal_code": "840573660",
"telephone_number": "801-714-6404",
"fax_number": "801-714-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTER",
"first_name": "LEE",
"middle_name": "DUPONT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "4681",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "UT",
"license": "10975405-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.