MARK S JORGENSEN (MD) – Family Medicine Physician, NPI 1407083710
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,141 FAMILY PRACTICE in UT
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Provider Addresses for MARK S JORGENSEN (MD)
PO BOX 337
LAYTON, UT 840410337
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Mailing
1477, North 2000 West, Clinton, Davis County, Utah, 84015, United States
CLINTON, UT 840158638
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 120 Open Payments records for all available years, with a total value of $1,953.
Total Amount is formed as General ($1,953) + Research ($0) + Ownership ($0) = $1,953.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($434).
Total Amount
$1,953
General + Research + Ownership
Payments
120
Total payment records
General Amount
$1,953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $434 |
| Lilly USA, LLC | $308 |
| PFIZER INC. | $236 |
| GlaxoSmithKline, LLC. | $200 |
| Astellas Pharma US Inc | $97 |
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: 2012-08-06
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20120806000411 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 134 | 85 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 113 | 80 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 77 | 65 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 72 | 72 | $0 |
Insurance plans in this area (ZIP 84041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Internal Medicine, Endocrinology | UT | |
| Family Practice | UT | |
| - | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | AZ | |
| Family Practice | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT |
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