DR. KELLY D JENSEN (D.O.) – Orthopaedic Surgery Physician, NPI 1497955330
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
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Provider Addresses for DR. KELLY D JENSEN (D.O.)
280, North Hospital Drive, Price, Carbon County, Utah, 84501, United States
PRICE, UT 845014216
Phone: (435) 637-2663
Type: Location
North Hospital Drive, Price, Carbon County, Utah, United States
PRICE, UT 845014211
Phone: (435) 623-7260
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $3,785.
Total Amount is formed as General ($3,785) + Research ($0) + Ownership ($0) = $3,785.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($3,476).
Total Amount
$3,785
General + Research + Ownership
Payments
26
Total payment records
General Amount
$3,785
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $3,476 |
| Catalyst Orthoscience | $147 |
| Heron Therapeutics, Inc. | $89 |
| Orthofix Medical, Inc. | $29 |
| Ethicon US, LLC | $15 |
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: 2012-08-10
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 |
|---|---|---|---|---|
| I20120810000765 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,101 | 174 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 462 | 263 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 229 | 154 | $0 |
| 73562 | X-ray of knee, 3 views | 207 | 115 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 96 | 96 | $0 |
Insurance plans in this area (ZIP 84501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | UT | 20610 | Aspiration and/or injection of large joint or joint capsule | 127 | 74 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Pediatric Medicine, Internal Medicine | UT | |
| Internal Medicine | UT | |
| P O D I A T R Y | UT | |
| Nurse Practitioner | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Internal Medicine, Pediatric Medicine | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Interventional Cardiology, Nuclear Medicine | UT |
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