DEANNE LONG (MD) – Emergency Medicine Physician, NPI 1023087343

DEANNE LONG (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4752590-1205 (UT). The NPI Number for DEANNE LONG (MD) is 1023087343

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DEANNE LONG (MD)
NPI
1023087343
Phone
(801) 582-4268
Address
540 ARAPEEN DR
Enumeration Date
17 March 2006
Last Update Date
15 April 2010

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8012926231
Graduation Year
1997 (29 years ago)
PAC ID
1355374091
Group Practice PAC ID
4284548116
Professional Enrollment ID
I20050914000324
Address ID
UT840104908BO630XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

487 EMERGENCY MEDICINE in UT

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Provider Addresses for DEANNE LONG (MD)

  • 540, Arapeen Drive, U of U Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States

    STE #110

    SALT LAKE CITY, UT 841081250

    Phone: (801) 582-4268

    Fax: (801) 582-4269

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $245.

Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: ABBVIE INC. ($114).

Total Amount

$245

General + Research + Ownership

Payments

7

Total payment records

General Amount

$245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2005-09-14

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
I20050914000324IEmergency MedicineUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
View full utilization report →

Insurance plans in this area (ZIP 84108)

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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: 4284548116View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineUT
Emergency MedicineUT
Emergency MedicineNV
Emergency MedicineCA
Emergency MedicineGA
Emergency MedicineTX
-UT
Emergency MedicineUT
Emergency MedicineUT

Reviews

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Frequently asked questions

What number should I use to identify DEANNE LONG (MD) for billing?
Administrative and clinical systems typically use NPI 1023087343 for DEANNE LONG (MD).
Should I treat DEANNE LONG (MD) as an active provider?
Patients and plans typically see DEANNE LONG (MD) as active in the national extract.
How should patients interpret DEANNE LONG (MD)'s specialty?
The extract shows Emergency Medicine Physician for DEANNE LONG (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DEANNE LONG (MD)?
The directory associates DEANNE LONG (MD) with Salt Lake City, Utah. Check all listed addresses for suites or satellite offices.
Can I export DEANNE LONG (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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