Russell D. Jepson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

11183299-1202 Issued in UT

Practice address

2891 E Mall Drive
Ste. 200
St George, UT 84790

Phone

(435) 688-1665

Fax

(435) 619-8634

NPI assigned

Jan 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.97 of 100Reported as group

Quality

68.31

Promoting interoperability

86

Improvement activities

40

Cost

73.25

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russ@ssapcsl-ut.direct.office.nextgen.com

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.

• Southwest Spine and Pain Care Specialists, LLC

  dba Physician Laboratory Services

  • Pain Medicine (Anesthesiology) Physician
  • St George, UT
  • NPI 1144509985

  Sports Physician

  Medicare reassignment Care Compare group NPD
• Southwest Spine and Pain Care Specialists, LLC

  dba Vista Spine Sports and Injury Center

  • Chiropractor
  • St George, UT
  • NPI 1871263178
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1932430782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0228",
            "fax_number": "435-656-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DRIVE",
            "address_2": "STE. 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-688-1665",
            "fax_number": "435-619-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSON",
        "first_name": "RUSSELL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "11183299-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jensen, FNP
• John H. Jentzer, MD
• Michael Calvin Jeppson, D.D.S.
• Jamie Jepsen, SSW
• Nicholas Wayne Jepsen, PHARM.D.
• Jerry D Twiggs MD PC (Dixie Pediatrics)
• Jerry Marsden MD a Professional Corporation
• Brayanna Jessop
• Tyson Jessop
• Angela Jeung, DO

• Sports Physician Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Sports Physician Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.