MATTHEW MICHAEL SCHELLENBERG (D.O.) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1386855021
Hospice and Palliative Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for MATTHEW MICHAEL SCHELLENBERG (D.O.)
74 E Kimballs Ln Ste 260
Draper, UT 840205009
Phone: (801) 545-8480
Fax: (801) 743-4765
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
SUITE 101
SOUTH JORDAN, UT 840952481
Phone: (801) 302-0899
Fax: (801) 302-0892
Type: Mailing
PO BOX 198560
ATLANTA, GA 303848560
Phone:
Type: Mailing
74 E KIMBALLS LN STE 260
DRAPER, UT 840205009
Phone: (801) 545-8480
Fax: (801) 743-4765
Type: Location
5121 S COTTONWOOD ST
MURRAY, UT 841075701
Phone: (385) 887-6000
Type: Location
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: 2024-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080616000770 | I | Family Practice | UT | TBD |
| I20241113000995 | I | Geriatric Medicine | ID | 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 84020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT |
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