TYSON JERGENSEN, MD

Pain Medicine (Anesthesiology) Physician · SALT LAKE CITY, UT

Individual Active NPI 1366071227

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	22	25	$55,547	$7,040	$5,581

Taxonomy & licensure

Specialty	Code	Primary	License	State
Pain Medicine (Anesthesiology) Physician	207LP2900X	✓	12404285-1205	UT

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.