NATHAN PHELPS (MD) – Family Medicine Physician, NPI 1255628996

NATHAN PHELPS (MD) is a healthcare provider. based in Denver, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 9140789-1205 (UT). The NPI Number for NATHAN PHELPS (MD) is 1255628996

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN PHELPS (MD)
NPI
1255628996
Phone
(801) 475-3021
Address
PO BOX 5546
Enumeration Date
1 July 2011
Last Update Date
17 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012921422
Graduation Year
2011 (15 years ago)
PAC ID
2466690367
Group Practice PAC ID
0840776688
Professional Enrollment ID
I20141110002596
Address ID
UT840108925BO520XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for NATHAN PHELPS (MD)

  • PO BOX 5546

    DENVER, CO 802175546

    Phone: (801) 475-3021

    Fax: (801) 475-3031

    Type: Mailing

  • 4650 HARRISON BLVD

    OGDEN, UT 844034303

    Phone: (801) 475-3021

    Fax: (801) 475-3031

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 205 Open Payments records for all available years, with a total value of $3,386.

Total Amount is formed as General ($3,386) + Research ($0) + Ownership ($0) = $3,386.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($445).

Total Amount

$3,386

General + Research + Ownership

Payments

205

Total payment records

General Amount

$3,386

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141110002596IFamily PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes427236$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit135135$0
99213Established patient office or other outpatient visit, 20-29 minutes116100$0
G0444Annual depression screening, 5 to 15 minutes113113$0
G0008Administration of influenza virus vaccine5656$0
View full utilization report →

Insurance plans in this area (ZIP 80217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840776688View full group profile
NameSpecialtyState
Family PracticeUT
Physician AssistantUT
Physician AssistantUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Internal MedicineUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Family PracticeUT
Family PracticeUT
Internal MedicineUT
Family PracticeUT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for NATHAN PHELPS (MD)?
NATHAN PHELPS (MD) — NPI 1255628996 — is the standard way to identify this listing.
Can I rely on NATHAN PHELPS (MD) being an active provider?
As of the registry snapshot, NATHAN PHELPS (MD) is marked active.
What is NATHAN PHELPS (MD) best known for clinically?
Directory data describes NATHAN PHELPS (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect NATHAN PHELPS (MD) on a map?
Expect Denver, Colorado as a primary anchor for NATHAN PHELPS (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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