DR. CHAD CHENOWETH (M.D.) – General Practice Physician, NPI 1255620068

DR. CHAD CHENOWETH (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 8436457-1205 (UT). The NPI Number for DR. CHAD CHENOWETH (M.D.) is 1255620068

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD CHENOWETH (M.D.)
NPI
1255620068
Phone
(801) 205-4112
Address
1512 E 3115 S
Enumeration Date
1 April 2011
Last Update Date
19 January 2016

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8015908118
Graduation Year
2011 (15 years ago)
PAC ID
3375773088
Group Practice PAC ID
0042357527
Professional Enrollment ID
I20171106001612
Address ID
UT841076715SA5691XLNXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

27 GENERAL PRACTICE in UT

Provider Addresses for DR. CHAD CHENOWETH (M.D.)

  • 1512 E 3115 S

    SALT LAKE CITY, UT 841063456

    Phone: (801) 205-4112

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Indivior Inc. ($84).

Total Amount

$149

General + Research + Ownership

Payments

7

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2017-11-06

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
I20171106001612IGeneral PracticeUTTBD

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
74230Imaging for evaluation of swallowing function275256$0
99204New patient office or other outpatient visit, 45-59 minutes234234$0
74240Single contrast x-ray of upper digestive tract198192$0
92611Evaluation of swallowing function image5956$0
99214Established patient office or other outpatient visit, 30-39 minutes4137$0
View full utilization report →

Insurance plans in this area (ZIP 84106)

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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: 0042357527View full group profile
NameSpecialtyState
Internal Medicine, Addiction MedicineUT

Reviews

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Frequently asked questions

How is DR. CHAD CHENOWETH (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. CHAD CHENOWETH (M.D.) with NPI 1255620068.
Does the file indicate DR. CHAD CHENOWETH (M.D.) is practicing under active NPI?
Directory data currently reports DR. CHAD CHENOWETH (M.D.) as active.
What is DR. CHAD CHENOWETH (M.D.)'s specialty?
The listing groups DR. CHAD CHENOWETH (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CHAD CHENOWETH (M.D.) on a map?
Expect Salt Lake City, Utah as a primary anchor for DR. CHAD CHENOWETH (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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