TANNER JAMES ALLEN (DO) – Surgery Physician, NPI 1376103606
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
238 GENERAL SURGERY in UT
Provider Addresses for TANNER JAMES ALLEN (DO)
64 E 100 S
GUNNISON, UT 846347709
Phone: (435) 528-7246
Type: Mailing
64 E 100 N
GUNNISON, UT 84634
Phone: (435) 528-7246
Type: Location
Beaumont Hospital - Trenton, 5450, Fort Street, Trenton, Wayne County, Michigan, 49224, United States
TRENTON, MI 48183
Phone: (435) 262-2730
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 $574.
Total Amount is formed as General ($574) + Research ($0) + Ownership ($0) = $574.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Integra LifeSciences Corporation ($245).
Total Amount
$574
General + Research + Ownership
Payments
6
Total payment records
General Amount
$574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $245 |
| TELA Bio, Inc. | $187 |
| Aroa Biosurgery Incorporated | $129 |
| Innovation Technologies Inc | $13 |
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: 2024-07-12
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 |
|---|---|---|---|---|
| I20240712002949 | I | General Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84634)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Nurse Practitioner | UT | |
| Family Practice | UT |
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