JUSTIN D ATHERTON (DO) – Surgery Physician, NPI 1386876167

JUSTIN D ATHERTON (DO) is a healthcare provider. based in Draper, Utah. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 8986480-1204 (UT). The NPI Number for JUSTIN D ATHERTON (DO) is 1386876167

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN D ATHERTON (DO)
NPI
1386876167
Phone
(801) 999-2432
Address
96 E KIMBALLS LN STE 306
Enumeration Date
13 August 2009
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
5395926703
Group Practice PAC ID
4688767551
Professional Enrollment ID
I20140612001996
Address ID
UT840205021DR96XXXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

238 GENERAL SURGERY in UT

Provider Addresses for JUSTIN D ATHERTON (DO)

  • 96 E KIMBALLS LN STE 306

    DRAPER, UT 840205021

    Phone: (801) 999-2432

    Type: Location

  • PO BOX 100253

    ATLANTA, GA 303840253

    Phone:

    Type: Mailing

  • MercyOne Des Moines Medical Center, 1111, 6th Avenue, Des Moines, Polk County, Iowa, 50314, United States

    DES MOINES, IA 503142613

    Phone: (515) 643-2261

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $593.

Total Amount is formed as General ($593) + Research ($0) + Ownership ($0) = $593.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($512).

Total Amount

$593

General + Research + Ownership

Payments

7

Total payment records

General Amount

$593

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2014-06-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140612001996IGeneral SurgeryUTTBD

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
99203New patient office or other outpatient visit, 30-44 minutes1414$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 84020)

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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: 4688767551View full group profile
NameSpecialtyState
Orthopedic SurgeryUT
Orthopedic SurgeryNV
Physician AssistantUT
-GA
Orthopedic SurgeryGA
Orthopedic SurgeryTX
General SurgeryGA
Orthopedic SurgeryUT
General SurgeryUT
Physician AssistantUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for JUSTIN D ATHERTON (DO)?
JUSTIN D ATHERTON (DO) — NPI 1386876167 — is the standard way to identify this listing.
Does the file indicate JUSTIN D ATHERTON (DO) is practicing under active NPI?
Directory data currently reports JUSTIN D ATHERTON (DO) as active.
What is JUSTIN D ATHERTON (DO)'s specialty?
The listing groups JUSTIN D ATHERTON (DO) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JUSTIN D ATHERTON (DO) on a map?
Expect Draper, Utah as a primary anchor for JUSTIN D ATHERTON (DO) unless the record lists multiple sites.
Why does JUSTIN D ATHERTON (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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