ROBERT A CHURCH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1023390531
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for ROBERT A CHURCH (DPM)
185 S 400 E
STE 100
BOUNTIFUL, UT 840104801
Phone: (801) 298-2507
Fax: (801) 774-0735
Type: Mailing
PO BOX 30015, DEPT 380
SALT LAKE CITY, UT 841300015
Phone: (801) 505-5277
Fax: (801) 505-5280
Type: Mailing
24 S 1100 E STE 210
SALT LAKE CITY, UT 841021580
Phone: (801) 505-5277
Fax: (801) 505-5280
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,775.
Total Amount is formed as General ($1,775) + Research ($0) + Ownership ($0) = $1,775.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: TriMed, Inc. ($1,652).
Total Amount
$1,775
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,775
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriMed, Inc. | $1,652 |
| Stryker Corporation | $79 |
| ABBVIE INC. | $16 |
| Paratek Pharmaceuticals, Inc. | $15 |
| Zimmer Biomet Holdings, Inc. | $13 |
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: 2014-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141022000299 | I | Podiatry | UT | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 274 | 100 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 150 | 69 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 143 | 58 | $0 |
| 11719 | Trimming of fingernails or toenails | 129 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 88 | $0 |
Insurance plans in this area (ZIP 84010)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | UT | |
| - | FL | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT |
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