THOMAS B. SKIDMORE (MD) – Radiation Oncology Physician, NPI 1194905752

THOMAS B. SKIDMORE (MD) is a healthcare provider. based in Washington terrace, Utah. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 8281461-1205 (UT). The NPI Number for THOMAS B. SKIDMORE (MD) is 1194905752

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS B. SKIDMORE (MD)
NPI
1194905752
Phone
(801) 475-6532
Address
5150 S 375 E STE 3
Enumeration Date
11 November 2007
Last Update Date
7 May 2020

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8013500400
Graduation Year
2007 (19 years ago)
PAC ID
3476701400
Group Practice PAC ID
6800785510
Professional Enrollment ID
I20120918000220
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

61 RADIATION ONCOLOGY in UT

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Provider Addresses for THOMAS B. SKIDMORE (MD)

  • South 375 East, Washington Terrace, Weber County, Utah, 84408, United States

    WASHINGTON TERRACE, UT 844054503

    Phone: (801) 475-6532

    Type: Mailing

  • 10, 3900 South, Millcreek, Salt Lake County, Utah, 84107, United States

    SALT LAKE CITY, UT 841241354

    Phone: (801) 456-8401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $297.

Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Boston Scientific Corporation ($105).

Total Amount

$297

General + Research + Ownership

Payments

12

Total payment records

General Amount

$297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

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: 2012-09-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120918000220IRadiation OncologyUTTBD

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
77014Ct guidance for insertion of radiation therapy fields45359$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session44255$0
77336Continuing radiation therapy consultation per week12735$0
99214Established patient office or other outpatient visit, 30-39 minutes11292$0
77427Radiation treatment management, 5 treatment sessions9928$0
View full utilization report →

Insurance plans in this area (ZIP 84405)

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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: 6800785510View full group profile
NameSpecialtyState
-UT
Radiation OncologyUT
Radiation OncologyUT
Radiation OncologyUT

Reviews

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Frequently asked questions

How do payers reference THOMAS B. SKIDMORE (MD)?
For THOMAS B. SKIDMORE (MD), use NPI 1194905752 as the unique 10-digit identifier.
Active or inactive — what applies to THOMAS B. SKIDMORE (MD)?
You should see THOMAS B. SKIDMORE (MD) as active in CMS-hosted NPPES data.
What area of care is associated with THOMAS B. SKIDMORE (MD)?
THOMAS B. SKIDMORE (MD)'s record emphasizes Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is THOMAS B. SKIDMORE (MD) associated with Washington Terrace?
Public fields place THOMAS B. SKIDMORE (MD) around Washington Terrace, Utah. Always confirm the exact site before visiting.
Can I trust this NPI listing for THOMAS B. SKIDMORE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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