MR. DOUGLAS MARR WOSETH (M.D.) – Specialist, NPI 1619978970
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
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Provider Addresses for MR. DOUGLAS MARR WOSETH (M.D.)
1548, 4500 South, Millcreek, Salt Lake County, Utah, 84117, United States
SUITE 202
SALT LAKE, UT 841175209
Phone: (801) 266-8841
Fax: (801) 266-0449
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $17,620.
Total Amount is formed as General ($17,620) + Research ($0) + Ownership ($0) = $17,620.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Incyte Corporation ($16,216).
Total Amount
$17,620
General + Research + Ownership
Payments
107
Total payment records
General Amount
$17,620
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $16,216 |
| ABBVIE INC. | $341 |
| Novartis Pharmaceuticals Corporation | $243 |
| Janssen Biotech, Inc. | $127 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $83 |
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: 2006-06-21
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 |
|---|---|---|---|---|
| I20060621000094 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,156 | 266 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 653 | 541 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 439 | 360 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 195 | 177 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 159 | 147 | $0 |
Insurance plans in this area (ZIP 84117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | UT | 11101 | Biopsy of each additional growth of skin and/or tissue | 33 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | DC | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT |
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