MARK H JENSEN (M.D.) – Plastic Surgery Physician, NPI 1184602351
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
64 PLASTIC AND RECONSTRUCTIVE SURGERY in UT
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Provider Addresses for MARK H JENSEN (M.D.)
250, North University Avenue, Downtown, Moon Apartments, Provo, Utah County, Utah, 84601, United States
PROVO, UT 846046695
Phone: (801) 374-9625
Fax: (801) 374-9690
Type: Mailing
East 90 North, American Fork, Utah County, Utah, 84003, United States
AMERICAN FORK, UT 840032954
Phone: (801) 852-9560
Fax: (801) 852-9559
Type: Location
1175 E 50 S Ste 171
American Fork, UT 840032845
Phone: (801) 418-0904
Fax: (801) 418-0974
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $2,583.
Total Amount is formed as General ($2,583) + Research ($0) + Ownership ($0) = $2,583.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Integra LifeSciences Corporation ($757).
Total Amount
$2,583
General + Research + Ownership
Payments
63
Total payment records
General Amount
$2,583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $757 |
| Musculoskeletal Transplant Foundation Inc. | $637 |
| Davol Inc. | $492 |
| ABBVIE INC. | $325 |
| AXOGEN | $134 |
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: 2011-07-05
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 |
|---|---|---|---|---|
| I20110705000064 | I | Plastic And Reconstructive Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT | |
| General Surgery | OR | |
| Nurse Practitioner | UT | |
| - | UT |
Reviews
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