IndividualActiveAccepts Medicare

Derek Pond, DPT

NPI 1104299858 · Physical Therapist · Logan, UT

Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1104299858
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: DPT
Sex: Male
Sole proprietor: No
License: 7504047-2401 (UT)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense 7504047-2401 (UT)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
10 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
1,250 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110	646	$23
Therapy Procedure Using Manual Technique, Each 15 Minutes97140	588	$19
Evaluation for Physical Therapy, Typically 45 Minutes97163	16	$95

Typical Medicare-allowed amounts for these services range $19–$95 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

55 E 100 N Ste 201b

Logan, UT 84321-4648

Phone: (385) 595-8892

Fax: (385) 331-7242

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Mailing address