DR. DAVID DEWILE POOR (M.D.) – Family Medicine Physician, NPI 1275589699

DR. DAVID DEWILE POOR (M.D.) is a healthcare provider. based in South jordan, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 5684661-1205 (UT). The NPI Number for DR. DAVID DEWILE POOR (M.D.) is 1275589699

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID DEWILE POOR (M.D.)
NPI
1275589699
Phone
(801) 213-4500
Address
5126 W Daybreak Pkwy
Enumeration Date
26 May 2006
Last Update Date
24 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122441515
Graduation Year
2003 (23 years ago)
PAC ID
3779538160
Group Practice PAC ID
7618067265
Professional Enrollment ID
I20221128000864
Address ID
IN478851303WE601XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for DR. DAVID DEWILE POOR (M.D.)

  • 5126 W Daybreak Pkwy

    South Jordan, UT 840955994

    Phone: (801) 213-4500

    Fax: (801) 213-5368

    Type: Location

  • 2133 S STATE ROAD 46

    TERRE HAUTE, IN 478039781

    Phone: (812) 232-0564

    Type: Location

  • Mountain America Credit Union, 5382 W, Daybreak Parkway, Daybreak, Trail Crossing, South Jordan, Salt Lake County, Utah, 84009, United States

    SOUTH JORDAN, UT 840955994

    Phone: (801) 213-4500

    Fax: (801) 213-5368

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($59).

Total Amount

$106

General + Research + Ownership

Payments

6

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2022-11-28

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
I20221128000864IFamily PracticeINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes356337$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen108105$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)5654$0
99214Established patient office or other outpatient visit, 30-39 minutes5452$0
71046X-ray of chest, 2 views4544$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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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: 7618067265View full group profile
NameSpecialtyState
-IN
Clinical Social WorkerIN
Nurse PractitionerIN
Family PracticeIN
-IN
Clinical Social WorkerIN
-IN
Clinical Social WorkerIN
Clinical PsychologistIN
Nurse PractitionerIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for DR. DAVID DEWILE POOR (M.D.)?
The registry entry for DR. DAVID DEWILE POOR (M.D.) shows NPI 1275589699.
Does the public listing show DR. DAVID DEWILE POOR (M.D.) as active?
DR. DAVID DEWILE POOR (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. DAVID DEWILE POOR (M.D.)?
NPPES ties DR. DAVID DEWILE POOR (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DAVID DEWILE POOR (M.D.)?
DR. DAVID DEWILE POOR (M.D.) shows a connection to South Jordan, Utah in registry-derived data.
Why is information missing for DR. DAVID DEWILE POOR (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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