DR. JEREMY ROBERT CHIDESTER (M.D.) – Plastic Surgery Physician, NPI 1194015693
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JEREMY ROBERT CHIDESTER (M.D.)
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT 840959014
Phone: (801) 839-5557
Fax: (801) 770-4455
Type: Mailing
11762 S STATE ST STE 333
DRAPER, UT 840207166
Phone: (801) 839-5557
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $24,165.
Total Amount is formed as General ($24,165) + Research ($0) + Ownership ($0) = $24,165.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($14,395).
Total Amount
$24,165
General + Research + Ownership
Payments
90
Total payment records
General Amount
$24,165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $14,395 |
| Galderma Laboratories, L.P. | $3,035 |
| MOTIVA USA, LLC | $2,901 |
| Davol Inc. | $2,075 |
| Integra LifeSciences Corporation | $1,205 |
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: 2019-04-25
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 |
|---|---|---|---|---|
| I20190425000423 | I | Hand 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 84095)
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