JOSEPH W JENSEN (D.O.) – Surgery Physician, NPI 1164463477

JOSEPH W JENSEN (D.O.) is a healthcare provider. based in Layton, Utah. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 5630584-1204 (UT). The NPI Number for JOSEPH W JENSEN (D.O.) is 1164463477

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH W JENSEN (D.O.)
NPI
1164463477
Phone
(017) 289-5558
Address
1580 W ANTELOPE DR STE 130B
Enumeration Date
9 June 2006
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5098261760
Graduation Year
1999 (27 years ago)
PAC ID
4284609629
Group Practice PAC ID
6800707951
Professional Enrollment ID
I20210719002140
Address ID
WA988419578OM810XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

238 GENERAL SURGERY in UT

Provider Addresses for JOSEPH W JENSEN (D.O.)

  • 1580 W ANTELOPE DR STE 130B

    LAYTON, UT 840411160

    Phone: (017) 289-5558

    Fax: (801) 728-9259

    Type: Location

  • South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States

    SOUTH JORDAN, UT 840950970

    Phone: (801) 352-9500

    Fax: (801) 352-9502

    Type: Mailing

  • 1580, West Antelope Drive, Vae View, Layton, Davis County, Utah, 84041, United States

    #230

    LAYTON, UT 840411160

    Phone: (801) 728-9555

    Fax: (801) 728-9556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($80).

Total Amount

$139

General + Research + Ownership

Payments

4

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-29

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: 2025-08-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040831000456IGeneral SurgeryUTTBD
I20250820003450IGeneral SurgeryWATBD

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
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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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: 6800707951View full group profile
NameSpecialtyState
Family PracticeWA
-WA
Emergency MedicineWA
General SurgeryWA
-NC
-WA
Emergency MedicineVA
Diagnostic Radiology, Interventional RadiologyWA
Nurse PractitionerWA
Physician AssistantWA

Reviews

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Frequently asked questions

What identifier follows JOSEPH W JENSEN (D.O.) across health systems?
The NPI 1164463477 uniquely identifies JOSEPH W JENSEN (D.O.) in U.S. healthcare data.
Should I treat JOSEPH W JENSEN (D.O.) as an active provider?
Patients and plans typically see JOSEPH W JENSEN (D.O.) as active in the national extract.
What services align with JOSEPH W JENSEN (D.O.)'s listing?
JOSEPH W JENSEN (D.O.)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JOSEPH W JENSEN (D.O.)?
JOSEPH W JENSEN (D.O.) shows a connection to Layton, Utah in registry-derived data.
Can I export JOSEPH W JENSEN (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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