MEREDITH A. GAUFIN (MD) – Dermatology Physician, NPI 1487116109

MEREDITH A. GAUFIN (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 12247278-1205 (UT). The NPI Number for MEREDITH A. GAUFIN (MD) is 1487116109

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH A. GAUFIN (MD)
NPI
1487116109
Phone
(801) 581-6465
Address
30 N 1900 E RM 4A330
Enumeration Date
2 April 2019
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8013574600
Graduation Year
2019 (7 years ago)
PAC ID
1052716057
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20231121002226
Address ID
UT846043311PR395XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

Provider Addresses for MEREDITH A. GAUFIN (MD)

  • 30 N 1900 E RM 4A330

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-6465

    Type: Mailing

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 819 E MARKET PLACE DR

    SPANISH FORK, UT 846601396

    Phone: (801) 357-7280

    Type: Location

  • 786, Redford Drive, Sherwood Hills, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846045202

    Phone: (801) 427-8145

    Type: Mailing

  • Cottonwood Street, Murray, Salt Lake County, Utah, 84107, United States

    MURRAY, UT 841075701

    Phone: (801) 507-7000

    Type: Location

  • 5121 S Cottonwood St

    Murray, UT 841075701

    Phone: (801) 507-7000

    Type: Location

  • 30 N 1900 E Rm 4A330

    Salt Lake City, UT 841320002

    Phone: (801) 581-6465

    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 $240.

Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Janssen Biotech, Inc. ($130).

Total Amount

$240

General + Research + Ownership

Payments

2

Total payment records

General Amount

$240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

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: 2023-11-21

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
I20231121002226IDermatologyUTTBD

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
17003Destruction of precancer skin growth, 2-14 growths8319$0
17000Destruction of precancer skin growth, 1 growth3228$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
11102Biopsy of related skin growth, first growth1616$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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

How do I look up MEREDITH A. GAUFIN (MD) by NPI?
Use NPI 1487116109 when you need to reference MEREDITH A. GAUFIN (MD) in forms, claims, or directories.
Is MEREDITH A. GAUFIN (MD) currently active in the NPI registry?
CMS-published data lists MEREDITH A. GAUFIN (MD) as an active registrant.
Does MEREDITH A. GAUFIN (MD) list a primary specialty?
If you are matching referrals, note Dermatology Physician for MEREDITH A. GAUFIN (MD). Clinical services aligned with this taxonomy classification.
Where is MEREDITH A. GAUFIN (MD)'s primary listing?
We display Salt Lake City, Utah because that is what the record indicates for MEREDITH A. GAUFIN (MD).
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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