NPIMap

Individual provider Active NPI

Clint John Wooten, MD

  • Orthopaedic Surgery Physician
  • Bountiful, UT
National Provider Identifier
1730317652
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5506567-1205 Issued in UT
Practice address
1551 Renaissance Towne Dr
Suite 400
Bountiful, UT 84010-7667
Phone
(801) 295-7200
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5506567-1205 UT Primary

Addresses

Primary practice location

1551 Renaissance Towne Dr
Suite 400
Bountiful, UT 84010-7667

Mailing address

1551 S. Renaissance Towne Drive
Suite 400
Bountiul, UT 84010-7272
Phone (801) 295-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130001109 UT Practitioner - Orthopedic Surgery 5092901108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Orthopaedics LLCGroup PAC ID 7113282179, 26 clinicians

Practice addresses (Care Compare)

1551 Renaissance Towne Dr
Suite 500
Bountiful, UT 84010-7678
Phone (801) 295-7200

Hospital & facility affiliations

  • Applegate Homecare Home health agency, South Ogden, UT, CCN 467025
  • Independence Home Health Home health agency, Woods Cross, UT, CCN 467337
  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as individual
Quality
67.01
Promoting interoperability
98
Improvement activities
40
Cost
78.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement161
Knee replacement207
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 1, 2016 Accepting new patients
Mountain Orthopaedics LLC Orthopaedic Surgery CurrentSince Dec 16, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 400
Bountiful, UT 84010
Phone (801) 294-7246

1551 Renaissance Towne Dr
Ste 500
Bountiful, UT 84010

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 400
Layton, UT 84041
Phone 8012957200116

324 Tenth Ave
Ste 100
Slc, UT 84103
Phone (801) 408-5735

Interoperability endpoints

  • Direct secure messaging: clint.wooten.1@27251.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1730317652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 S. RENAISSANCE TOWNE DRIVE",
            "address_2": "SUITE 400",
            "city": "BOUNTIUL",
            "state": "UT",
            "postal_code": "840107272",
            "telephone_number": "801-295-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "SUITE 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-295-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "CLINT",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "5506567-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.