DR. JASON MARK HUDDLESTON (DO) – Internal Medicine Physician, NPI 1619908001
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
903 INTERNAL MEDICINE in UT
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Provider Addresses for DR. JASON MARK HUDDLESTON (DO)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
CREDENTIALING DEPARTMENT
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
East 50 South, American Fork, Utah County, Utah, 84003, United States
SUITE 241
AMERICAN FORK, UT 840030000
Phone: (801) 492-5999
Fax: (801) 418-0897
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 135 Open Payments records for all available years, with a total value of $2,464.
Total Amount is formed as General ($2,464) + Research ($0) + Ownership ($0) = $2,464.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($484).
Total Amount
$2,464
General + Research + Ownership
Payments
135
Total payment records
General Amount
$2,464
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $484 |
| Lilly USA, LLC | $241 |
| Corcept Therapeutics | $181 |
| Phathom Pharmaceuticals, Inc. | $103 |
| Novo Nordisk Inc | $91 |
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: 2007-07-23
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 |
|---|---|---|---|---|
| I20070723000698 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 697 | 253 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 256 | 183 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 187 | 154 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 168 | 139 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 167 | 167 | $0 |
Insurance plans in this area (ZIP 84604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | UT | 81002 | Urinalysis, manual test | 23 | 18 |
| INTERNAL MEDICINE | UT | 83036 | Hemoglobin A1C level | 238 | 139 |
| INTERNAL MEDICINE | UT | 85610 | Blood test, clotting time | 119 | 27 |
| INTERNAL MEDICINE | UT | 90670 | Pneumococcal vaccine for injection into muscle | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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