DR. KIMBERLY FAIRLEY (MD) – Family Medicine Physician, NPI 1235214289
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for DR. KIMBERLY FAIRLEY (MD)
BOX 130 E HWY 262
MONTEZUMA CREEK, UT 84511
Phone: (435) 651-3291
Fax: (435) 651-3376
Type: Location
PO BOX 130
MONTEZUMA CREEK, UT 845340130
Phone: (435) 651-3291
Fax: (435) 651-3376
Type: Mailing
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84511
Phone: (435) 651-3700
Fax: (435) 678-0608
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-01-17
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 |
|---|---|---|---|---|
| I20070117000076 | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 108 | 61 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 80 | 63 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 74 | 50 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 67 | 64 | $0 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 37 | 34 | $0 |
Insurance plans in this area (ZIP 84511)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MT | |
| P S Y C H I A T R Y | UT | |
| Physician Assistant | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| O P T O M E T R Y | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
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