MARC TAYLOR MITTON (D.O) – Dermatology Physician, NPI 1568994143

MARC TAYLOR MITTON (D.O) is a healthcare provider. based in Washington terrace, Utah. specializing in DERMATOLOGY. They hold the professional credentials D.O. They hold a License No. OT018578 (PA). The NPI Number for MARC TAYLOR MITTON (D.O) is 1568994143

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MARC TAYLOR MITTON (D.O)
NPI
1568994143
Phone
(801) 827-9100
Address
5748 ADAMS AVE PKWY
Enumeration Date
1 April 2017
Last Update Date
24 August 2021

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8017979121
Graduation Year
2017 (9 years ago)
PAC ID
9638443435
Group Practice PAC ID
5991022642
Professional Enrollment ID
I20210802002905
Address ID
UT840107254BO320XX500X301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

Provider Addresses for MARC TAYLOR MITTON (D.O)

  • 5748 ADAMS AVE PKWY

    WASHINGTON TERRACE, UT 844056947

    Phone: (801) 827-9100

    Type: Location

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 18103

    Phone: (540) 951-1111

    Type: Location

  • North, Liberty County, Texas, 77372, United States

    LIBERTY, UT 843109506

    Phone: (801) 458-0162

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $482.

Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: UCB, Inc. ($76).

Total Amount

$482

General + Research + Ownership

Payments

23

Total payment records

General Amount

$482

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2021-08-02

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
I20210802002905IDermatologyUTTBD

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 growths18951$0
99213Established patient office or other outpatient visit, 20-29 minutes144105$0
17000Destruction of precancer skin growth, 1 growth9476$0
11102Biopsy of related skin growth, first growth5146$0
17110Destruction of skin growth, 1-14 growths3634$0
View full utilization report →

Insurance plans in this area (ZIP 84405)

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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: 5991022642View full group profile
NameSpecialtyState
Nurse PractitionerUT
D E R M A T O L O G YUT

Reviews

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Frequently asked questions

What is the standard ID for MARC TAYLOR MITTON (D.O) in the U.S.?
In the U.S., MARC TAYLOR MITTON (D.O) is identified by NPI 1568994143.
Quick check: is MARC TAYLOR MITTON (D.O) active?
Public NPPES data shows MARC TAYLOR MITTON (D.O) with an active NPI status right now.
What type of care does MARC TAYLOR MITTON (D.O) provide?
MARC TAYLOR MITTON (D.O)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MARC TAYLOR MITTON (D.O)?
The directory associates MARC TAYLOR MITTON (D.O) with Washington Terrace, Utah. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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