Individual provider Active NPI

Gary Robert Edwards

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lehi, UT
National Provider Identifier
1922425800
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
5583016-1205 Issued in UT
Practice address
3000 N Triumph Blvd Ste 330
Lehi, UT 84043-4999
Phone
(385) 345-3560
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 5583016-1205 UT Primary

Addresses

Primary practice location

3000 N Triumph Blvd Ste 330
Lehi, UT 84043-4999

Mailing address

3000 N Triumph Blvd Ste 330
Lehi, UT 84043-7188
Phone (385) 345-3560

Other identifiers 1

IdentifierTypeStateIssuer
1922425800MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201013001501 UT Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1456661800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Brain and Spine PCGroup PAC ID 2365877917, 11 clinicians

Practice addresses (Care Compare)

3000 N Triumph Blvd
Suite 330
Lehi, UT 84043-7188
Phone (385) 345-3560

Hospital & facility affiliations

  • First Choice Home Health Home health agency, Orem, UT, CCN 467071
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • Intermountain Health Spanish Fork Hospital Hospital, Spanish Fork, UT, CCN 460062
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052

Merit-based Incentive Payment System (MIPS)

Final score
68.66 of 100Reported as group
Quality
50.22
Improvement activities
40
Cost
61.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5583016-1205UTMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Summit Brain and Spine PC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 6, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 6, 2023 Accepting new patients
Sportsmed Associates LLC Orthopaedic Surgery CurrentSince Jun 23, 2022 Accepting new patients
Interventional Spine & Pain Management PastSince Jun 23, 2022 Accepting new patients

Locations

3943 E Pony Express Pkwy
Ste 210
Eagle Mountain, UT 84005
Phone (801) 789-3030

3401 N Center St
Ste 100
Lehi, UT 84043
Phone (801) 753-7770

3000 N Triumph Blvd
Ste 110
Lehi, UT 84043
Phone (385) 345-3555

3401 N Center St
Ste 210
Lehi, UT 84043
Phone (801) 753-7770

3000 N Triumph Blvd
Ste 330
Lehi, UT 84043
Phone (385) 345-3560

15 S 1000 E
Ste 100
Payson, UT 84651
Phone (385) 345-3560

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

765 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-5000

Organizations & group practices 6

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 8

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1922425800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437188",
            "telephone_number": "385-345-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "385-345-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GARY",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "UT",
            "license": "5583016-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922425800",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.