DR. TRAVIS CORGAN (MD) – Surgery Physician, NPI 1013371822

DR. TRAVIS CORGAN (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. T4626 (TX). The NPI Number for DR. TRAVIS CORGAN (MD) is 1013371822

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRAVIS CORGAN (MD)
NPI
1013371822
Phone
(801) 581-6803
Address
30 N 1900 E RM 3B324
Enumeration Date
7 April 2016
Last Update Date
21 April 2023

Doctor Profile

Medical School Name
PAUL L FOSTER SCHOOL OF MEDICINE, TEXAS TECH UNIV
Secondary Phone
6822243748
Graduation Year
2016 (10 years ago)
PAC ID
5294167961
Group Practice PAC ID
8921364100
Professional Enrollment ID
I20220406000009
Address ID
TX761042602FO800XXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

238 GENERAL SURGERY in UT

Provider Addresses for DR. TRAVIS CORGAN (MD)

  • 30 N 1900 E RM 3B324

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-6803

    Type: Mailing

  • 1105 Santa Fe Dr

    Weatherford, TX 760865811

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Location

  • 800 8TH AVE

    SUITE 306

    FORT WORTH, TX 761042602

    Phone: (214) 364-1136

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $688.

Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Kerecis Limited ($254).

Total Amount

$688

General + Research + Ownership

Payments

23

Total payment records

General Amount

$688

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-04-06

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
I20220406000009IGeneral SurgeryTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10553$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6864$0
99213Established patient office or other outpatient visit, 20-29 minutes3211$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 8921364100View full group profile
NameSpecialtyState
Colorectal Surgery (Proctology), General SurgeryTX
General SurgeryTX
General SurgeryTX
General Practice, General SurgeryTX
Physician AssistantWV
General SurgeryTX
Vascular SurgeryMI
General Surgery, Vascular SurgeryHI
Nurse PractitionerTX
General SurgeryTX

Reviews

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Frequently asked questions

How do I look up DR. TRAVIS CORGAN (MD) by NPI?
Use NPI 1013371822 when you need to reference DR. TRAVIS CORGAN (MD) in forms, claims, or directories.
Is DR. TRAVIS CORGAN (MD)'s NPI currently valid?
The extract we use shows DR. TRAVIS CORGAN (MD) as active.
Does DR. TRAVIS CORGAN (MD) list a primary specialty?
If you are matching referrals, note Surgery Physician for DR. TRAVIS CORGAN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TRAVIS CORGAN (MD)?
The page summarizes Salt Lake City, Utah for DR. TRAVIS CORGAN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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