DR. CHARLES OLIN CANFIELD (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1023199825
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,137 FAMILY PRACTICE in UT
Provider Addresses for DR. CHARLES OLIN CANFIELD (M.D.)
PO BOX 709391
SANDY, UT 840709391
Phone: (801) 877-0705
Fax: (801) 335-5957
Type: Mailing
Jordan Gateway, South Jordan, Salt Lake County, Utah, 84070, United States
STE 660
SOUTH JORDAN, UT 840953905
Phone: (801) 380-4488
Fax: (801) 331-6879
Type: Mailing
10437 S JORDAN GTWY
SOUTH JORDAN, UT 840953915
Phone: (801) 877-0705
Fax: (801) 335-5957
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Braeburn Inc. ($36).
Total Amount
$67
General + Research + Ownership
Payments
4
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $36 |
| Tris Pharma Inc | $16 |
| Kowa Pharmaceuticals America, Inc. | $15 |
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: 2021-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040212000549 | I | Family Practice | UT | TBD |
| I20210310001116 | I | Family Practice | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 124 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 19 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 38 | 37 | $0 |
Insurance plans in this area (ZIP 84070)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| P S Y C H I A T R Y | UT | |
| P S Y C H I A T R Y | UT | |
| Nurse Practitioner | OR | |
| - | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT |
Reviews
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