DR. BRUCE CRAIG DEPEW (MD) – Family Medicine Physician, NPI 1376505214

DR. BRUCE CRAIG DEPEW (MD) is a healthcare provider. based in West valley city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036132 (GA). The NPI Number for DR. BRUCE CRAIG DEPEW (MD) is 1376505214

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE CRAIG DEPEW (MD)
NPI
1376505214
Phone
(801) 965-3600
Address
2965 W 3500 S
Enumeration Date
5 April 2006
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8019653600
Graduation Year
1991 (35 years ago)
PAC ID
3779624879
Group Practice PAC ID
3476465691
Professional Enrollment ID
I20121231000132
Address ID
UT841193602WE2965X3500300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for DR. BRUCE CRAIG DEPEW (MD)

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3600

    Type: Mailing

  • 12391 S 4000 W

    RIVERTON, UT 840967012

    Phone: (801) 302-1700

    Type: Location

  • Campus View Drive, Jordan Landing, West Jordan, Salt Lake County, Utah, 84088, United States

    WEST JORDAN, UT 840844312

    Phone: (801) 965-3505

    Type: Mailing

  • 12700 South, Oquirrh Estates, Riverton Gardens, Riverton, Salt Lake County, Utah, 84065, United States

    RIVERTON, UT 840656794

    Phone: (801) 965-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,020.

Total Amount is formed as General ($1,020) + Research ($0) + Ownership ($0) = $1,020.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Ironshore Pharmaceuticals Inc. ($129).

Total Amount

$1,020

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2012-12-31

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
I20121231000132IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes10066$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
99213Established patient office or other outpatient visit, 20-29 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 84119)

Loading plans...

Provider's Procedures

DR. BRUCE CRAIG DEPEW (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level4934
FAMILY MEDICINEGA90670Pneumococcal vaccine for injection into muscle1919

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: 3476465691View full group profile
NameSpecialtyState
Nurse PractitionerUT
U R O L O G YUT
-UT
Pulmonary Disease, Critical Care (Intensivists)UT
Pain ManagementUT
Physician AssistantUT
-UT
Sports Medicine, Family PracticeUT
-UT
Family PracticeUT

Reviews

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Frequently asked questions

How is DR. BRUCE CRAIG DEPEW (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. BRUCE CRAIG DEPEW (MD) with NPI 1376505214.
Is DR. BRUCE CRAIG DEPEW (MD) listed as active for patients and plans?
The listing shows DR. BRUCE CRAIG DEPEW (MD) as active in the NPI system.
What taxonomy line describes DR. BRUCE CRAIG DEPEW (MD)?
For research purposes, treat DR. BRUCE CRAIG DEPEW (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. BRUCE CRAIG DEPEW (MD) based?
DR. BRUCE CRAIG DEPEW (MD) is tied to West Valley City, Utah in the data we show; additional addresses may exist on the full record.
Is the information about DR. BRUCE CRAIG DEPEW (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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