NPPES file of Aug 9, 2026

Derek Garn Rodeback, D.O.

Sports Medicine (Physical Medicine & Rehabilitation) Physician · Bountiful, UT

Derek Garn Rodeback, D.O. is a sports medicine (physical medicine & rehabilitation) physician with a practice address in Bountiful, Utah, and NPI 1053751032, issued on Jul 5, 2013. Check the license (Utah 12005709-1204, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053751032
Name
Derek Garn Rodeback
Credential
D.O.
Primary taxonomy
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
License numbers
12005709-1204 UT
DR.0061855 CO
Self-reported in NPPES; status is on the state search
Practice location
1818 Mueller Park RD, Bountiful, UT 84010
Phone
(453) 414-9858
Enumerated
Jul 5, 2013
Record last updated
May 22, 2025
Medicare enrollment
Enrolled (PECOS I20210706000973); accepts Medicare assignment
Medical or professional school
West Virginia School Of Osteopathic Medicine, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest sports medicine (physical medicine & rehabilitation) physician records → All 22 in Utah → Look up another NPI →

Verify Derek Garn Rodeback in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersUtah Medical Licensing Board
    Search for license 12005709-1204    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Utah license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Ihc Health Services IncSt George, UT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Derek Garn Rodeback among 22 sports medicine (physical medicine & rehabilitation) physician records in Utah

Derek Garn Rodeback, D.O. is one of 22 sports medicine (physical medicine & rehabilitation) physician records with a practice address in Utah. 45% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 18% of them.

  • NPI issued2013 · 18% of these records are older, 73% newer
  • In a Medicare fileYes · 45% of these records are
  • In the CMS Doctors and Clinicians fileYes · 41% of these records are
  • Record last updated2025 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2081S0010X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in Utah

There are 22 sports medicine (physical medicine & rehabilitation) physician records in Utah.

All 22 in Utah → Every provider in Bountiful → Sports Medicine (Physical Medicine & Rehabilitation) Physician nationwide →

The 8 sports medicine (physical medicine & rehabilitation) physician records with the nearest ZIP codes

  1. Gabrielle Pearson, LMTDraper, UT 840201376343061
  2. Erin Fluhrer, DPTKaysville, UT 840371447213301
  3. Hailey Jones, ATCOrem, UT 840581255042313
  4. Earl Stadler, M.D.Park City, UT 840601497026330
  5. Chase Hansen, DPTSalt Lake City, UT 841061053887067
  6. Mark Sederberg, D.O.Salt Lake City, UT 841081255793576
  7. Tara Joiner, MPTSalt Lake City, UT 841091821810581
  8. Bryan Holtzman, MDSalt Lake City, UT 841121740920131

Common questions

What is Derek Garn Rodeback, D.O.'s NPI number?

Derek Garn Rodeback, D.O.'s National Provider Identifier (NPI) is 1053751032, issued on Jul 5, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Derek Garn Rodeback, D.O. located?

The NPPES record lists a practice address at 1818 Mueller Park RD, Bountiful, UT, 84010. Phone: (453) 414-9858. Providers update this record themselves, so call before visiting.

How can I verify Derek Garn Rodeback, D.O.'s license?

NPPES lists Utah license number 12005709-1204, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.