BRADLEY M WATTS (D.O.) – Family Medicine Physician, NPI 1043741929
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
19 OSTEOPATHIC MANIPULATIVE MEDICINE in UT
Provider Addresses for BRADLEY M WATTS (D.O.)
348 E 4500 S STE 300
SALT LAKE CITY, UT 841078535
Phone: (801) 266-2777
Fax: (801) 266-1377
Type: Location
PO BOX 198560
ATLANTA, GA 303848560
Phone:
Type: Mailing
5360 S 2700 W
TAYLORSVILLE, UT 841291524
Phone: (801) 996-9761
Fax: (802) 996-9762
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,578.
Total Amount is formed as General ($1,578) + Research ($0) + Ownership ($0) = $1,578.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($354).
Total Amount
$1,578
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,578
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $354 |
| Lilly USA, LLC | $347 |
| Novo Nordisk Inc | $302 |
| Bayer Healthcare Pharmaceuticals Inc. | $60 |
| ViiV Healthcare Company | $45 |
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: 2020-08-03
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 |
|---|---|---|---|---|
| I20200803001363 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 78 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $0 |
| 83036 | Hemoglobin a1c level | 59 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 42 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | 20 | $0 |
Insurance plans in this area (ZIP 84107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Physician Assistant | FL | |
| Family Practice | UT | |
| Nurse Practitioner | GA | |
| - | UT | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | CA | |
| Family Practice | UT |
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