CORY NELSON (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1124339460
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
105 SPORTS MEDICINE in UT
Provider Addresses for CORY NELSON (D.O.)
1577 W WYNVIEW LN
SOUTH JORDAN, UT 840958480
Phone: (801) 543-9264
Type: Mailing
3943 E Pony Express Pkwy Ste 210
Eagle Mountain, UT 840055544
Phone: (801) 789-3030
Fax: (801) 789-3039
Type: Location
3401 N CENTER ST STE 100
LEHI, UT 840437498
Phone: (801) 753-7770
Fax: (801) 753-7775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Orthofix Medical, Inc. ($25).
Total Amount
$102
General + Research + Ownership
Payments
5
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $25 |
| Medtronic, Inc. | $23 |
| Merz Pharmaceuticals, LLC | $20 |
| Bioventus LLC | $18 |
| Ferring Pharmaceuticals Inc. | $16 |
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: 2013-06-27
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 |
|---|---|---|---|---|
| I20130627000097 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 273 | 26 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 69 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84095)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine | UT | |
| Physical Medicine And Rehabilitation | TX | |
| Orthopedic Surgery, Sports Medicine | MS | |
| Family Practice | IN | |
| Sports Medicine, Family Practice | UT | |
| Family Practice, Sports Medicine | WY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.