MR. JOHN DUDLEY DUROSS (PA-C) – Physician Assistant, NPI 1083917355
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for MR. JOHN DUDLEY DUROSS (PA-C)
520 CRESTVIEW DR
PARK CITY, UT 840985127
Phone: (801) 910-6844
Type: Mailing
5121 SOUTH COTTONWOOD STREET
MURRAY, UT 84157
Phone: (801) 507-6698
Type: Location
PO BOX 428
JACKSON, WY 830010428
Phone: (307) 739-8999
Fax: (307) 739-4811
Type: Mailing
1415 S HWY 89
JACKSON, WY 830018515
Phone: (307) 739-8999
Fax: (307) 739-4811
Type: Location
3345 W Cody Lane Unit 9
Teton Village, WY 830250544
Phone: (307) 739-7346
Fax: (307) 739-7349
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-07-14
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 |
|---|---|---|---|---|
| I20230714001290 | I | Physician Assistant | WY | 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 | 41 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 20 | $0 |
| 81002 | Urinalysis, manual test | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84098)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WY | |
| - | WY | |
| - | WY | |
| Physician Assistant | WY | |
| - | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY | |
| General Surgery | WY | |
| General Surgery | ID | |
| Qualified Audiologist | WY | |
| N E U R O L O G Y | DC |
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