MCKENNAN J. THURSTON (MD) – Sports Medicine (Family Medicine) Physician, NPI 1194088856
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for MCKENNAN J. THURSTON (MD)
PO BOX 337
LAYTON, UT 840410337
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Mailing
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Location
4166 SUMMER RIDGE RD
MORGAN, UT 840509344
Phone: (801) 809-3766
Fax: (801) 516-0639
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 161 Open Payments records for all available years, with a total value of $2,522.
Total Amount is formed as General ($2,522) + Research ($0) + Ownership ($0) = $2,522.
Last reported payment date: 2024-12-28 • Largest payer in this snapshot: ABBVIE INC. ($775).
Total Amount
$2,522
General + Research + Ownership
Payments
161
Total payment records
General Amount
$2,522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $775 |
| PFIZER INC. | $222 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $160 |
| Pacira Pharmaceuticals Incorporated | $139 |
| Kyowa Kirin, Inc. | $95 |
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: 2016-06-24
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 |
|---|---|---|---|---|
| I20160624001733 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 584 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 182 | 134 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 152 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 87 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 80 | 63 | $0 |
Insurance plans in this area (ZIP 84041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WY | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Internal Medicine | UT | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
Reviews
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