DR. TODD B ENGEN (MD) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1295705697
Ophthalmic Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OPHTHALMOLOGY in UT
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Provider Addresses for DR. TODD B ENGEN (MD)
1735, North State Street, Grandview North, Provo, Utah County, Utah, 84604, United States
SUITE 201
PROVO, UT 846041010
Phone: (801) 379-2900
Fax: (801) 374-6295
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 4 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($45).
Total Amount
$112
General + Research + Ownership
Payments
4
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $45 |
| Amgen Inc. | $44 |
| Horizon Therapeutics plc | $23 |
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: 2005-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051118000157 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 41,593 | 15 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 131 | 23 | $0 |
| 92285 | Photography of content of eyes | 107 | 107 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 53 | 53 | $0 |
Insurance plans in this area (ZIP 84604)
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Provider's Procedures
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