MARK J CACCIAMANI (MD) – Family Medicine Physician, NPI 1063500163
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for MARK J CACCIAMANI (MD)
522 E 100 S
SALT LAKE CITY, UT 841021905
Phone: (801) 485-5055
Fax: (801) 467-3296
Type: Location
466 E 500 S STE 200
SALT LAKE CITY, UT 841113350
Phone: (801) 485-5055
Fax: (801) 467-3296
Type: Location
1556, Emerson Avenue, Wasatch Hollow, Salt Lake City, Salt Lake County, Utah, 84105, United States
SALT LAKE CITY, UT 841052728
Phone: (801) 865-9590
Fax: (801) 467-3296
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $860.
Total Amount is formed as General ($860) + Research ($0) + Ownership ($0) = $860.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($826).
Total Amount
$860
General + Research + Ownership
Payments
31
Total payment records
General Amount
$860
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $826 |
| ACADIA Pharmaceuticals Inc | $21 |
| Galderma Laboratories, L.P. | $14 |
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: 2024-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040309000328 | I | Family Practice | UT | TBD |
| I20180815002622 | I | Family Practice | ID | TBD |
| I20181016000905 | I | Family Practice | NY | TBD |
| I20240401002762 | I | Family Practice | CO | 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 |
|---|---|---|---|---|
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 218 | 61 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 80 | 64 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 41 | 18 | $0 |
Insurance plans in this area (ZIP 84102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| - | UT |
Reviews
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