DR. JESSE DEWEY (DO) – Dermatology Physician, NPI 1619554110

DR. JESSE DEWEY (DO) is a healthcare provider. based in Hurricane, Utah. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 14207082-1204 (UT). The NPI Number for DR. JESSE DEWEY (DO) is 1619554110

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE DEWEY (DO)
NPI
1619554110
Phone
(435) 558-7031
Address
1141 W State St Ste 12
Enumeration Date
29 March 2021
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
4358964298
Graduation Year
2021 (5 years ago)
PAC ID
3476077728
Group Practice PAC ID
4284065095
Professional Enrollment ID
I20250905001478
Address ID
UT847011840RI861XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

Provider Addresses for DR. JESSE DEWEY (DO)

  • 1141 W State St Ste 12

    Hurricane, UT 847372074

    Phone: (435) 558-7031

    Fax: (435) 558-7035

    Type: Location

  • 861 N MAIN ST

    RICHFIELD, UT 847011840

    Phone: (360) 739-4467

    Fax: (435) 558-7031

    Type: Mailing

  • 460 E PARIS DR

    ST GEORGE, UT 847907155

    Phone: (360) 739-4467

    Type: Mailing

  • 607 BEAMAN ST

    CLINTON, NC 283282603

    Phone: (910) 596-5409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $3,868.

Total Amount is formed as General ($3,868) + Research ($0) + Ownership ($0) = $3,868.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,028).

Total Amount

$3,868

General + Research + Ownership

Payments

86

Total payment records

General Amount

$3,868

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2025-09-05

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
I20250905001478IDermatologyUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84737)

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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: 4284065095View full group profile
NameSpecialtyState
D E R M A T O L O G YUT
Physician AssistantNV
D E R M A T O L O G YUT

Reviews

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Frequently asked questions

How do payers reference DR. JESSE DEWEY (DO)?
For DR. JESSE DEWEY (DO), use NPI 1619554110 as the unique 10-digit identifier.
Is there an active status for DR. JESSE DEWEY (DO)?
For scheduling context, DR. JESSE DEWEY (DO) is shown as active in the registry.
What clinical focus is listed for DR. JESSE DEWEY (DO)?
At a glance, DR. JESSE DEWEY (DO) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JESSE DEWEY (DO)?
Directory geography for DR. JESSE DEWEY (DO) centers on Hurricane, Utah.
When was this NPI issued?
Enumeration for DR. JESSE DEWEY (DO) is noted as March 29, 2021 where the registry provides it.

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