DR. MARCELLA RAE WOICZIK (M.D.) – Pediatric Orthopaedic Surgery Physician, NPI 1053408708
Pediatric Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
Provider Addresses for DR. MARCELLA RAE WOICZIK (M.D.)
900 Round Valley Dr Ste 100
Park City, UT 840607552
Phone: (435) 655-6600
Type: Location
4801 Alberta Ave
El Paso, TX 799052707
Phone: (915) 215-5400
Fax: (915) 215-8632
Type: Location
4845 Alameda Ave
El Paso, TX 799052705
Phone: (915) 215-5400
Fax: (915) 215-8632
Type: Location
5400 ALAMEDA AVE BLDG B
EL PASO, TX 799052914
Phone: (915) 242-8402
Fax: (915) 242-8404
Type: Location
5201 CREEK STONE CT
PARK CITY, UT 840985969
Phone: (801) 707-4071
Type: Mailing
FAIRFAX ROAD AT VIRGINIA STREET
SHRINERS HOSPTIALS FOR CHILDREN
SALT LAKE CITY, UT 841034399
Phone: (801) 536-3600
Fax: (801) 536-3868
Type: Location
Shriners Hospitals For Children, South Virgil Avenue, Westlake, Los Angeles, Los Angeles County, California, 90057, United States
DEPT 5034
LOS ANGELES, CA 900840001
Phone: (813) 281-8478
Fax: (813) 281-8113
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Orthofix Medical, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $24 |
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: 2025-08-20
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 |
|---|---|---|---|---|
| I20090804000115 | I | Orthopedic Surgery | UT | TBD |
| I20250820003931 | I | Orthopedic Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84060)
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