CHRISTOPHER JOHN PANNUCCI (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1083737738
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
64 PLASTIC AND RECONSTRUCTIVE SURGERY in UT
Provider Addresses for CHRISTOPHER JOHN PANNUCCI (M.D.)
PO BOX 413068
SALT LAKE CITY, UT 841413068
Phone: (801) 213-3900
Fax: (801) 585-3655
Type: Mailing
50 N MEDICAL DR
SALT LAKE CITY, UT 841320001
Phone: (801) 581-7719
Fax: (801) 581-5794
Type: Location
50 N Medical Dr
Salt Lake City, UT 841320001
Phone: (801) 581-7719
Fax: (801) 581-5794
Type: Location
PO BOX 421
LIBERTY LAKE, WA 990190421
Phone: (509) 474-3568
Fax: (509) 227-7070
Type: Mailing
820 S MCCLELLAN ST STE 200
SPOKANE, WA 992042456
Phone: (509) 838-7100
Fax: (509) 227-7070
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $629.
Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($377).
Total Amount
$629
General + Research + Ownership
Payments
11
Total payment records
General Amount
$629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $377 |
| Davol Inc. | $234 |
| Stryker Corporation | $18 |
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: 2019-11-27
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 |
|---|---|---|---|---|
| I20141210002335 | I | Pediatric Medicine | UT | TBD |
| I20191127001529 | I | Plastic And Reconstructive Surgery | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 84141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Plastic And Reconstructive Surgery | WA | |
| Hand Surgery, Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | WA | |
| Plastic And Reconstructive Surgery | WA |
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