SCOTT E HANSEN (MD) – Specialist, NPI 1164402897
Specialist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SCOTT E HANSEN (MD)
9000 South, West Jordan, Salt Lake County, Utah, 84070, United States
#210
WEST JORDAN, UT 840888876
Phone: (801) 569-2626
Fax: (801) 569-5333
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 357-7009
Type: Mailing
395 W COUGAR BLVD STE 203
PROVO, UT 846043328
Phone: (801) 357-7009
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $4,675.
Total Amount is formed as General ($4,675) + Research ($0) + Ownership ($0) = $4,675.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,135).
Total Amount
$4,675
General + Research + Ownership
Payments
34
Total payment records
General Amount
$4,675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $4,135 |
| ABBVIE INC. | $120 |
| Hologic Sales and Service, LLC | $114 |
| Astellas Pharma US Inc | $69 |
| Organon LLC | $61 |
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: 2024-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100914001105 | I | Obstetrics/Gynecology | UT | TBD |
| I20240603000235 | I | Obstetrics/Gynecology | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84088)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Physician Assistant | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT |
Reviews
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