DR. KELLY H I WOODWARD (D.O., M.P.H.) – Public Health & General Preventive Medicine Physician, NPI 1548243645
Public Health & General Preventive Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
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Provider Addresses for DR. KELLY H I WOODWARD (D.O., M.P.H.)
Park City Hospital, 900, Round Valley Drive, Park City, Summit County, Utah, 84060, United States
SUITE 250
PARK CITY, UT 840607552
Phone: (435) 658-7882
Fax: (435) 333-3536
Type: Mailing
7165 CANYON DR
PARK CITY, UT 840985382
Phone: (703) 907-9716
Type: Mailing
2720 Homestead Rd
Park City, UT 840984881
Phone: (435) 940-9400
Type: Location
5532 LILLEHAMMER LN STE 102
PARK CITY, UT 840986078
Phone: (435) 659-7633
Fax: (971) 397-0394
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: 2016-07-07
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 |
|---|---|---|---|---|
| I20160707000401 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 63 | $0 |
Insurance plans in this area (ZIP 84060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | UT | |
| - | OR | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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