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Deactivated NPI 1588664759 Deactivated / Inactive NPI Male Practitioner

Dr. Jared T Clegg , DPM

Podiatrist • Provo, UT

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jared Clegg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2005
NPI Deactivation Date March 22, 2006
Total Practice Duration ~9 Years of Practice (1997 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jared Clegg, DPM was a registered Podiatrist in Provo, UT. Prior to record deactivation on 2006-03-22, Dr. Clegg completed approximately 9 years of clinical practice following graduation from California School Of Podiatric Medicine in 1997.

Dr. Clegg was affiliated with Cascade Foot And Ankle Clinic Pc and accepted Medicare assignment.

Historical Medicare Part B clinical services included removal of fingernails or toenails, 1-5 nails, trimming of fingernails or toenails, removal of noncancer thickened skin growth, 2-4 growths. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1973 North State Street

Provo, UT 846041012

Telephone 8013732499
Fax 8013735200
Associated Practice Facility / Clinic
🏢 Utah Podiatry Group Pc Facility NPI 1457737579

Medicare Profile & Education

Medical School

California School Of Podiatric Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Provo, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs -5.6 yrs vs City Avg
City Avg: 34.6 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Provo, UT (89 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clegg (29 Years) 29 Yrs
Provo Specialty Average (34.6 Years) 34.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails
681 189 $69.00 $31.48
11719 Trimming of fingernails or toenails
672 185 $24.35 $9.69
11056 Removal of noncancer thickened skin growth, 2-4 growths
238 107 $124.00 $77.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg
220 36 $2.00 $0.11
11055 Removal of single thickened skin growth
185 100 $102.00 $64.69
99213 Established patient office or other outpatient visit, typically 15 minutes
163 123 $114.00 $87.14
11042 Removal of skin and tissue, 20.0 sq cm or less
148 23 $225.00 $119.98
93923 Complete ultrasound study of arm and leg arteries
78 77 $250.00 $122.74
11721 Removal of fingernails or toenails, 6 or more nails
72 40 $86.00 $42.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
69 69 $200.00 $107.78
73630 X-ray of foot, minimum of 3 views
65 36 $69.00 $32.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
61 36 $5.00 $0.99
11057 Removal of noncancer thickened skin growth, more than 4 growths
38 21 $118.00 $82.45
11750 Permanent removal fingernail or toenail
37 27 $300.00 $133.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 26 $175.00 $123.87
20600 Aspiration and/or injection of fluid from small joint
27 17 $120.00 $44.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 25 $81.00 $54.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $302.00 $162.10
73620 X-ray of foot, 2 views
12 12 $80.00 $27.13

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License UT 370946-0501

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Hospital & Practice Group Affiliations

Cascade Foot And Ankle Clinic Pc

48 W 1500, Nephi, UT 846488900

Phone: 8013732499

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Seth Brazier

Podiatrist - Foot & Ankle Surgery

NPI 1033554324
Natalie Park , FNP-C

Nurse Practitioner

NPI 1720938905

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 10, 2016

Registered at 1973 NORTH STATE STREET, PROVO, UT 846041012 (Tel: 8013732499)

📍
Updated Business Mailing Address February 10, 2016

Registered at 2561 S 1560 W, STE B, WOODS CROSS, UT 840872361 (Tel: 8015050821)

👤
Provider Name / Credentials Updated February 10, 2016

Recorded as JARED CLEGG, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2016

Podiatrist (License #370946-0501 in UT)

🔄
NPI Profile Reactivated March 30, 2006

Record officially reactivated for active practice on March 30, 2006

⚠️
NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

🟢
Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588664759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: February 10, 2016
Deactivation Date: March 22, 2006
Sole Proprietor: Yes

Mailing Address

2561 S 1560 W, Ste B

Woods Cross, UT 840872361

Phone: 8015050821

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.