Jeremy Wallentine, M.D.

NPI 1619130036ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Slc, UT

Pathology, Anatomic Pathology & Clinical Pathology (M.D.) in Slc, Utah, trained at University of Utah School of Medicine (class of 2005). Medicare paid $49,031 for services to 223 patients in 2024.

Overview

NPI	1619130036
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	Yes
NPI issued	Jul 7, 2008
Last updated in NPPES	Nov 9, 2011

Specialties and licenses

Taxonomy	Code	License	State
Pathology, Anatomic Pathology & Clinical Pathology Primary	207ZP0102X	3289491205	UT

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Pathology (UT)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	223
Services billed	1,776 across 31 procedure codes
Paid by Medicare	$49,031

Medicare sources and data years

Education and affiliations

Medical school	University of Utah School of Medicine
Graduation year	2005
Medicare specialty	Pathology

Medical group

Utah Pathology Services IncProvo, UT · 28 clinicians

Hospital affiliations

Intermountain Health Logan Regional HospitalLogan, UT
Intermountain Health McKay-Dee HospitalOgden, UT
Intermountain Health Utah Valley HospitalProvo, UT
Intermountain Medical CenterMurray, UT
Lds HospitalSalt Lake City, UT

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records