DR. AMY POWELL (MD) – Sports Medicine (Internal Medicine) Physician, NPI 1376639229
Sports Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
105 SPORTS MEDICINE in UT
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Provider Addresses for DR. AMY POWELL (MD)
PO BOX 413067
SALT LAKE CITY, UT 841413067
Phone: (801) 581-3998
Type: Mailing
590, Wakara Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States
SALT LAKE CITY, UT 841081200
Phone: (801) 587-7109
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Abbott Laboratories ($43).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $43 |
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: 2003-12-05
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 |
|---|---|---|---|---|
| I20031205000586 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 233 | 145 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 188 | 127 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 125 | 125 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 99 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 80 | 41 | $0 |
Insurance plans in this area (ZIP 84141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | UT | 20610 | Aspiration and/or injection of large joint or joint capsule | 453 | 235 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| A N E S T H E S I O L O G Y | UT |
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