DR. CASEY N ISOM (M.D.) – Specialist, NPI 1215964275

DR. CASEY N ISOM (M.D.) is a healthcare provider. based in Logan, Utah. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 6178459-1205 (UT). The NPI Number for DR. CASEY N ISOM (M.D.) is 1215964275

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY N ISOM (M.D.)
NPI
1215964275
Phone
(435) 787-1108
Address
550 EAST 1400 N SUITE S
Enumeration Date
27 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4357435555
Graduation Year
2000 (26 years ago)
PAC ID
4587665047
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20070125000405
Address ID
UT846315137FI700XX99XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

64 PLASTIC AND RECONSTRUCTIVE SURGERY in UT

Provider Addresses for DR. CASEY N ISOM (M.D.)

  • 550 EAST 1400 N SUITE S

    LOGAN, UT 84341

    Phone: (435) 787-1108

    Fax: (435) 787-4244

    Type: Location

  • 550, East 1400 North, Logan, Cache County, Utah, 84341, United States

    LOGAN, UT 843412407

    Phone: (435) 787-1108

    Fax: (435) 787-4244

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $3,341.

Total Amount is formed as General ($3,341) + Research ($0) + Ownership ($0) = $3,341.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($2,455).

Total Amount

$3,341

General + Research + Ownership

Payments

22

Total payment records

General Amount

$3,341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-01-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070125000405IPlastic And Reconstructive SurgeryUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84341)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. CASEY N ISOM (M.D.) in the U.S.?
In the U.S., DR. CASEY N ISOM (M.D.) is identified by NPI 1215964275.
Does the public listing show DR. CASEY N ISOM (M.D.) as active?
DR. CASEY N ISOM (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. CASEY N ISOM (M.D.) does?
Insurance directories may phrase it differently, but here DR. CASEY N ISOM (M.D.) maps to Other Service Providers. Clinical services aligned with this taxonomy classification.
Is DR. CASEY N ISOM (M.D.) tied to Logan, Utah?
If you are local to Logan, Utah, DR. CASEY N ISOM (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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