ROBERT W SLACK (DO) – Family Medicine Physician, NPI 1467467399
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
117 GENERAL PRACTICE in AZ
Provider Addresses for ROBERT W SLACK (DO)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 763-2900
Type: Mailing
3128 E Desert Cove Ave
Phoenix, AZ 850282610
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Location
495 E Abington Ave
Philadelphia, PA 191182906
Phone: (384) 455-7170
Fax: (888) 823-5887
Type: Location
4400 Stone Way N
Seattle, WA 981037485
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Location
10968 N Alpine Hwy
Highland, UT 840038874
Phone: (801) 763-2900
Type: Location
251 S Colorado Blvd
Sunrise at Cherry Creek Assisted Living
Denver, CO 802461043
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Location
2929 W Holcombe Blvd
Houston, TX 770251534
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Location
3128 E Desert Cove Avenue
Desert Bloom Assisted Living
Phoenix, AZ 850282610
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Location
3218 E Bell Road
Phoenix, AZ 850322727
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Location
3300 N ASHTON BLVD
STE 450
LEHI, UT 840436153
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Mailing
3300 N ASHTON BLVD STE 450
LEHI, UT 840485340
Phone: (385) 455-7170
Fax: (888) 823-5887
Type: Mailing
10968, North Alpine Highway, Highland, Utah County, Utah, 84003, United States
HIGHLAND, UT 840038874
Phone: (801) 763-2900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Abbott Laboratories ($22).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $22 |
| Lilly USA, LLC | $17 |
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: 2026-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040303000090 | I | Family Practice | UT | TBD |
| I20250418001978 | I | General Practice | AZ | TBD |
| I20250618000647 | I | Family Practice | CO | TBD |
| I20251230000704 | I | Family Practice | TX | TBD |
| I20260216000759 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 774 | 81 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 298 | 86 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 281 | 38 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 229 | 69 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 192 | 40 | $0 |
Insurance plans in this area (ZIP 84127)
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Provider's Procedures
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