TRAVIS M HENDRY (MD) – Orthopaedic Surgery Physician, NPI 1124235312

TRAVIS M HENDRY (MD) is a healthcare provider. based in Bountiful, Utah. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 0101245156 (VA). The NPI Number for TRAVIS M HENDRY (MD) is 1124235312

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS M HENDRY (MD)
NPI
1124235312
Phone
(801) 295-7200
Address
1551 RENAISSANCE TOWNE DR STE 400
Enumeration Date
17 May 2007
Last Update Date
16 November 2020

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8012957200
Graduation Year
2004 (22 years ago)
PAC ID
2668518572
Group Practice PAC ID
7113282179
Professional Enrollment ID
I20100803001069
Address ID
UT840107676BO1551XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

325 ORTHOPEDIC SURGERY in UT

Provider Addresses for TRAVIS M HENDRY (MD)

  • 1551 RENAISSANCE TOWNE DR STE 400

    BOUNTIFUL, UT 840107676

    Phone: (801) 295-7200

    Fax: (801) 295-4930

    Type: Mailing

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 779-6200

    Type: Mailing

  • 2075, University Park Boulevard, Lakeland, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840411611

    Phone: (801) 779-6200

    Type: Location

  • 2075 University Park Blvd

    Layton, UT 840411611

    Phone: (801) 779-6200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $641.

Total Amount is formed as General ($641) + Research ($0) + Ownership ($0) = $641.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Stryker Corporation ($548).

Total Amount

$641

General + Research + Ownership

Payments

15

Total payment records

General Amount

$641

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-08-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100803001069IOrthopedic SurgeryUTTBD

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
73030X-ray of shoulder, minimum of 2 views483244$0
99213Established patient office or other outpatient visit, 20-29 minutes217143$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11930$0
99203New patient office or other outpatient visit, 30-44 minutes110110$0
23472Prosthetic repair of shoulder joint, total shoulder9896$0
View full utilization report →

Insurance plans in this area (ZIP 84010)

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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: 7113282179View full group profile
NameSpecialtyState
Orthopedic SurgeryWI
Physician AssistantCA
Physician AssistantCA
Physician AssistantUT
Physician AssistantUT
Nurse PractitionerUT
Orthopedic SurgeryUT
Orthopedic SurgeryUT
Nurse PractitionerUT
Physician AssistantUT

Reviews

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Frequently asked questions

What identifier follows TRAVIS M HENDRY (MD) across health systems?
The NPI 1124235312 uniquely identifies TRAVIS M HENDRY (MD) in U.S. healthcare data.
Does the public listing show TRAVIS M HENDRY (MD) as active?
TRAVIS M HENDRY (MD)'s NPI record reflects an active status in NPPES.
What does the directory say TRAVIS M HENDRY (MD) does?
Insurance directories may phrase it differently, but here TRAVIS M HENDRY (MD) maps to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit TRAVIS M HENDRY (MD) in Bountiful, Utah?
For routing, start with Bountiful, Utah for TRAVIS M HENDRY (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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