KEVIN DUFF (PHD) – Clinical Neuropsychologist, NPI 1295720969

KEVIN DUFF (PHD) is a healthcare provider. based in Salt lake city, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 00973 (IA). The NPI Number for KEVIN DUFF (PHD) is 1295720969

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN DUFF (PHD)
NPI
1295720969
Phone
(801) 585-9983
Address
650 KOMAS DRIVE 106A
Enumeration Date
19 September 2005
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
1992 (34 years ago)
PAC ID
0143278457
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20220914003826
Address ID
OR972394501PO3303XAVEX400

Contacts

Secure Messaging
kduff53177@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

235 CLINICAL PSYCHOLOGIST in UT

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Provider Addresses for KEVIN DUFF (PHD)

  • 650 KOMAS DRIVE 106A

    SALT LAKE CITY, UT 841081225

    Phone: (801) 585-9983

    Fax: (801) 581-2483

    Type: Mailing

  • 650 Komas, 650, Komas Drive, U of U Research Park, Salt Lake City, Salt Lake County, Utah, 84148, United States

    106A

    SALT LAKE CITY, UT 841081215

    Phone: (801) 585-9983

    Fax: (801) 581-2483

    Type: Location

  • 3303 S BOND AVE

    PORTLAND, OR 972394501

    Phone: (503) 494-7772

    Fax: (503) 418-3283

    Type: Mailing

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: 2022-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20091023000387IClinical PsychologistUTTBD
I20220914003826IClinical PsychologistORTBD

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
96133Evaluation of neuropsychological test, each additional hour2814$0
96132Evaluation of neuropsychological test, first hour1414$0
View full utilization report →

Insurance plans in this area (ZIP 84108)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

How do payers reference KEVIN DUFF (PHD)?
For KEVIN DUFF (PHD), use NPI 1295720969 as the unique 10-digit identifier.
Would KEVIN DUFF (PHD) appear as active to a payer?
You can treat KEVIN DUFF (PHD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KEVIN DUFF (PHD)'s focus?
For KEVIN DUFF (PHD), the primary taxonomy reads as Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where in Utah is KEVIN DUFF (PHD) registered?
Use Salt Lake City, Utah as the headline location for KEVIN DUFF (PHD) here.
Can I trust this NPI listing for KEVIN DUFF (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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