DR. REBEKAH GENSURE (M.D., PH.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1225490444

DR. REBEKAH GENSURE (M.D., PH.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 10507952-1205 (UT). The NPI Number for DR. REBEKAH GENSURE (M.D., PH.D.) is 1225490444

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBEKAH GENSURE (M.D., PH.D.)
NPI
1225490444
Phone
Not provided
Address
30 N 1900 E RM 4C104
Enumeration Date
26 March 2016
Last Update Date
13 September 2022

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
5799041224
Group Practice PAC ID
0042430282
Professional Enrollment ID
I20220818002212
Address ID
UT840885561WE3855XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

214 OPHTHALMOLOGY in UT

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Provider Addresses for DR. REBEKAH GENSURE (M.D., PH.D.)

  • 30 N 1900 E RM 4C104

    SALT LAKE CITY, UT 841320002

    Phone:

    Type: Mailing

  • Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84412, United States

    SALT LAKE CITY, UT 841320005

    Phone: (801) 581-2352

    Type: Location

  • 755 E 3900 S

    SALT LAKE CITY, UT 841072176

    Phone: (801) 266-2283

    Fax: (801) 268-6151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $674.

Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Genentech USA, Inc. ($184).

Total Amount

$674

General + Research + Ownership

Payments

13

Total payment records

General Amount

$674

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2022-08-18

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
I20220818002212IOphthalmologyUTTBD

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
J2777Injection, faricimab-svoa, 0.1 mg7,80317$0
J0178Injection, aflibercept, 1 mg89469$0
92134Imaging of retina708203$0
67028Injection of drug into eye672123$0
J7999Compounded drug, not otherwise classified23546$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 0042430282View full group profile
NameSpecialtyState
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YWA

Reviews

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Frequently asked questions

What is the registry number for DR. REBEKAH GENSURE (M.D., PH.D.)?
The registry entry for DR. REBEKAH GENSURE (M.D., PH.D.) shows NPI 1225490444.
Is DR. REBEKAH GENSURE (M.D., PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. REBEKAH GENSURE (M.D., PH.D.) as active.
What services align with DR. REBEKAH GENSURE (M.D., PH.D.)'s listing?
DR. REBEKAH GENSURE (M.D., PH.D.)'s public classification highlights Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. REBEKAH GENSURE (M.D., PH.D.)?
DR. REBEKAH GENSURE (M.D., PH.D.) shows a connection to Salt Lake City, Utah in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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