WILLIAM C DRAPER (DO) – Family Medicine Physician, NPI 1053978387

WILLIAM C DRAPER (DO) is a healthcare provider. based in South jordan, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 12799480-1204 (UT). The NPI Number for WILLIAM C DRAPER (DO) is 1053978387

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM C DRAPER (DO)
NPI
1053978387
Phone
(801) 505-8012
Address
4901 W DOCK ST
Enumeration Date
22 May 2019
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
8012921422
Graduation Year
2019 (7 years ago)
PAC ID
4789073727
Group Practice PAC ID
0840776688
Professional Enrollment ID
I20220706002060
Address ID
UT840108925BO520XXDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for WILLIAM C DRAPER (DO)

  • 4901 W DOCK ST

    SOUTH JORDAN, UT 840096136

    Phone: (801) 505-8012

    Type: Mailing

  • 1150, 45th Street, Mangonia Park, Palm Beach County, Florida, 33407, United States

    WEST PALM BEACH, FL 334072361

    Phone: (561) 642-1000

    Type: Location

  • 520 MEDICAL DR STE 300

    BOUNTIFUL, UT 840108925

    Phone: (801) 292-1422

    Fax: (801) 296-0436

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 237 Open Payments records for all available years, with a total value of $4,640.

Total Amount is formed as General ($4,140) + Research ($500) + Ownership ($0) = $4,640.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Lucid Diagnostics Inc. ($513).

Total Amount

$4,640

General + Research + Ownership

Payments

237

Total payment records

General Amount

$4,140

General payments

Research Amount

$500

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2022-07-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211115000172IFamily PracticeFLTBD
I20220706002060IFamily PracticeUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes320186$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg4713$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3535$0
G0008Administration of influenza virus vaccine3333$0
93922Ultrasound study of arm and leg arteries2929$0
View full utilization report →

Insurance plans in this area (ZIP 84009)

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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: 0840776688View full group profile
NameSpecialtyState
Physician AssistantUT
Physician AssistantUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Internal MedicineUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Family PracticeCO
Family PracticeUT
Family PracticeUT
Internal MedicineUT
Family PracticeUT

Reviews

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Frequently asked questions

Where can patients find WILLIAM C DRAPER (DO)'s NPI?
You can confirm WILLIAM C DRAPER (DO) with NPI 1053978387; it appears in the national provider directory.
Is WILLIAM C DRAPER (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize WILLIAM C DRAPER (DO)'s specialty in plain language?
Clinically, the directory lists WILLIAM C DRAPER (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place WILLIAM C DRAPER (DO)?
The snapshot lists South Jordan, Utah for WILLIAM C DRAPER (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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