Individual provider Active NPI

Lee Dupont Trotter, DO

  • Pediatric Surgery Physician
  • Orem, UT
National Provider Identifier
1013986157
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
10975405-1204 Issued in UT
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190228001072 UT Practitioner - General Surgery 4789674540 Reassigns benefits to 2 organizations
I20250307001461 ID Practitioner - General Surgery 4789674540 Reassigns benefits to 2 organizations

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
St Joseph Hospital LLCGroup PAC ID 8325325806, 91 clinicians
Pediatrix Medical Group IncGroup PAC ID 2567634587, 5 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10975405-1204UTMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 1, 2020 Accepting new patients
St Joseph Hospital LLC CurrentSince Apr 1, 2025 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 PastSince Nov 13, 2018 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

  • Direct secure messaging: lee.trotter.1@16883.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.