DR. DOUGLAS ROLAND SMITH (M.D.) – Family Medicine Physician, NPI 1174681928
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for DR. DOUGLAS ROLAND SMITH (M.D.)
PO BOX 837
OGDEN, UT 844020837
Phone: (801) 392-0402
Fax: (801) 393-3334
Type: Mailing
181 E Medical Tower Dr
Murray, UT 841074872
Phone: (801) 314-7700
Fax: (801) 314-7701
Type: Location
4417 S DORIS WAY
HOLLADAY, UT 841243525
Phone: (801) 682-6817
Type: Mailing
4544 S HOLLADAY BLVD
HOLLADAY, UT 841174404
Phone: (801) 682-6817
Type: Location
Tolcate Woods Lane, Holladay, Salt Lake County, Utah, 84121, United States
HOLLADAY, UT 841211536
Phone: (801) 392-0402
Fax: (801) 393-3334
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-11-10
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 |
|---|---|---|---|---|
| I20041110001076 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 125 | $0 |
| 81003 | Automated urinalysis test | 43 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 71046 | X-ray of chest, 2 views | 18 | 18 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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