JOSE PEREZ TAMAYO (M.D.) – Diagnostic Radiology Physician, NPI 1093761264
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
347 DIAGNOSTIC RADIOLOGY in UT
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Provider Addresses for JOSE PEREZ TAMAYO (M.D.)
380, North 200 West, Bountiful, Davis County, Utah, 84010, United States
SUITE 209
BOUNTIFUL, UT 840107079
Phone: (801) 298-1300
Fax: (801) 296-6199
Mailing address matches the actual address.
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 $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($89).
Total Amount
$89
General + Research + Ownership
Payments
1
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $89 |
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: 2009-02-13
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 |
|---|---|---|---|---|
| I20090213000146 | I | Diagnostic Radiology | UT | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 475 | 475 | $0 |
| 77063 | Screening 3d breast mammography | 464 | 464 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 194 | 194 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 97 | 92 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 89 | 76 | $0 |
Insurance plans in this area (ZIP 84010)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Physician Assistant | UT | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | AZ | |
| - | UT |
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