DR. WENDY L MATIS (M.D.) – Dermatology Physician, NPI 1407851595
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
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Provider Addresses for DR. WENDY L MATIS (M.D.)
PO BOX 9697
SALT LAKE CITY, UT 841099697
Phone: (801) 521-0100
Type: Mailing
The Stansbury, 710, 200 South, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
STE 1B
SALT LAKE CITY, UT 841022265
Phone: (801) 521-0100
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.
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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: 2010-01-08
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 |
|---|---|---|---|---|
| I20100108000716 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,238 | 241 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 824 | 647 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 408 | 316 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 254 | 183 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 152 | 130 | $0 |
Insurance plans in this area (ZIP 84109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | UT | 11101 | Biopsy of each additional growth of skin and/or tissue | 47 | 27 |
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