DR. STEVEN ELLSWORTH KELLY (MD) – Dermatology Physician, NPI 1154809002
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
Provider Addresses for DR. STEVEN ELLSWORTH KELLY (MD)
680 E MAIN ST
LEHI, UT 840432241
Phone: (801) 768-8800
Fax: (801) 820-8200
Type: Mailing
1225 W 1000 S APT D408
OREM, UT 840584127
Phone: (208) 206-4073
Type: Mailing
680 E Main St Ste 201
Lehi, UT 840432251
Phone: (801) 768-8800
Type: Location
Cottonwood Street, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841076768
Phone: (801) 507-3750
Type: Location
62 E THRIVE DR STE 220
SARATOGA SPRINGS, UT 840455560
Phone: (801) 768-8800
Fax: (801) 820-8200
Type: Location
680 E MAIN ST STE 201
LEHI, UT 840432251
Phone: (801) 768-8800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $1,465.
Total Amount is formed as General ($1,465) + Research ($0) + Ownership ($0) = $1,465.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($274).
Total Amount
$1,465
General + Research + Ownership
Payments
86
Total payment records
General Amount
$1,465
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $274 |
| ABBVIE INC. | $195 |
| Lilly USA, LLC | $190 |
| Galderma Laboratories, L.P. | $163 |
| Janssen Biotech, Inc. | $103 |
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: 2022-04-14
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 |
|---|---|---|---|---|
| I20220414001071 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 105 | 21 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 52 | 24 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 40 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 84043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| Nurse Practitioner | UT | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
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