DOUGLAS R NEWBOLD (MD) – Family Medicine Physician, NPI 1447363239

DOUGLAS R NEWBOLD (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 47754011205 (UT). The NPI Number for DOUGLAS R NEWBOLD (MD) is 1447363239

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS R NEWBOLD (MD)
NPI
1447363239
Phone
(801) 840-2100
Address
PO BOX 27128
Enumeration Date
16 August 2006
Last Update Date
22 October 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
8018402101
Graduation Year
1999 (27 years ago)
PAC ID
1759327778
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20050629001304
Address ID
UT841293454TA3845X4700300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

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Provider Addresses for DOUGLAS R NEWBOLD (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 840-2100

    Type: Mailing

  • 3845, 4700 South, Taylorsville, Salt Lake County, Utah, 84129, United States

    TAYLORSVILLE, UT 841183454

    Phone: (801) 840-2100

    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: 2005-06-29

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
I20050629001304IFamily PracticeUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes326139$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit106106$0
G0008Administration of influenza virus vaccine7372$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage7372$0
96372Injection of drug or substance under skin or into muscle4518$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DOUGLAS R NEWBOLD (MD)?
The federal identifier for DOUGLAS R NEWBOLD (MD) is NPI 1447363239.
Is DOUGLAS R NEWBOLD (MD)'s NPI currently valid?
The extract we use shows DOUGLAS R NEWBOLD (MD) as active.
What kind of provider is DOUGLAS R NEWBOLD (MD)?
The page reflects Family Medicine Physician for DOUGLAS R NEWBOLD (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DOUGLAS R NEWBOLD (MD)?
The page summarizes Salt Lake City, Utah for DOUGLAS R NEWBOLD (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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