MATTHEW KENNETH REDD (D.O.) – Internal Medicine Physician, NPI 1154642791

MATTHEW KENNETH REDD (D.O.) is a healthcare provider. based in Ogden, Utah. specializing in GASTROENTEROLOGY. They hold the professional credentials D.O.. They hold a License No. 2013012534 (MO). The NPI Number for MATTHEW KENNETH REDD (D.O.) is 1154642791

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW KENNETH REDD (D.O.)
NPI
1154642791
Phone
(801) 475-5400
Address
6028 S RIDGELINE DR
Enumeration Date
17 June 2010
Last Update Date
5 July 2016

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
8017734840
Graduation Year
2010 (16 years ago)
PAC ID
8123251089
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20160711000979
Address ID
UT840418803LA2121X1700300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

137 GASTROENTEROLOGY in UT

Provider Addresses for MATTHEW KENNETH REDD (D.O.)

  • 6028 S RIDGELINE DR

    201

    OGDEN, UT 844056914

    Phone: (801) 475-5400

    Fax: (801) 475-8614

    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 189 Open Payments records for all available years, with a total value of $2,787.

Total Amount is formed as General ($2,787) + Research ($0) + Ownership ($0) = $2,787.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($791).

Total Amount

$2,787

General + Research + Ownership

Payments

189

Total payment records

General Amount

$2,787

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2016-07-11

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
I20160711000979IGastroenterologyUTTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope265258$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare159159$0
99213Established patient office or other outpatient visit, 20-29 minutes11685$0
45380Biopsy of large bowel using a flexible endoscope9898$0
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm9893$0
View full utilization report →

Insurance plans in this area (ZIP 84405)

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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: 4284547985View full group profile
NameSpecialtyState
Family PracticeUT
Nurse PractitionerUT
Family PracticeUT
Internal Medicine, EndocrinologyUT
Family PracticeUT
-UT
O T O L A R Y N G O L O G YUT
Physician AssistantAZ
Family PracticeUT
Qualified AudiologistUT

Reviews

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Frequently asked questions

What is MATTHEW KENNETH REDD (D.O.)'s NPI number?
MATTHEW KENNETH REDD (D.O.)'s NPI is 1154642791 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MATTHEW KENNETH REDD (D.O.)?
For scheduling context, MATTHEW KENNETH REDD (D.O.) is shown as active in the registry.
What kind of doctor is MATTHEW KENNETH REDD (D.O.)?
MATTHEW KENNETH REDD (D.O.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTHEW KENNETH REDD (D.O.)?
Travel planning: use Ogden, Utah as the reference point for MATTHEW KENNETH REDD (D.O.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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