SUSAN STEFFEN (MD) – Gynecology Physician, NPI 1518988799

Gynecology Physician

SUSAN STEFFEN (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in Gynecology Physician. They hold the professional credentials MD. They hold a License No. 1800281205 (UT). The NPI Number for SUSAN STEFFEN (MD) is 1518988799

Main info

Female

Sole Proprietor

49 Years Of Experience

Accepts Medicare Assignment

Name

SUSAN STEFFEN (MD)

NPI

1518988799

Phone

(801) 357-7002

Address

PO BOX 27128

Enumeration Date

22 July 2006

Last Update Date

25 October 2010

Doctor Profile

Medical School Name

UNIVERSITY OF UTAH SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1977 (49 years ago)

PAC ID

2264432509

Group Practice PAC ID

1850209420

Professional Enrollment ID

I20070110000223

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

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Provider Addresses for SUSAN STEFFEN (MD)

PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 357-7002
Type: Mailing
Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043380
Phone: (801) 357-7002
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: 2007-01-10

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

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
I20070110000223	I	Obstetrics/Gynecology	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99212	Established patient office or other outpatient visit, 10-19 minutes	22	16	$0

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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

Name	Specialty	State
MR. SARUNAS SLIESORAITIS (DO, PHARM D)	-	OR
BRETT A CHRISTIAN (M.D.)	Diagnostic Radiology	UT
STEPHEN CRAIG MERRELL (M.D., M.P.H.)	Family Practice	UT
MIKHAIL SHIPOTKO (MD)	H O S P I T A L I S T	UT
RICHARD OTT (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	UT
MS. SHARON A KORHEL (APRN)	-	UT
DR. TIMOTHY TRASK (M.D.)	-	UT
JAMES F ORME (MD)	-	UT
JUNE C. STEINVORTH (MD)	Family Practice	UT
RYAN NELSON JONES (M.D.)	-	UT