DAVID GORDON AFFLECK (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1710979653
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
14 CARDIAC SURGERY in UT
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Provider Addresses for DAVID GORDON AFFLECK (MD)
1160, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
SUITE 3500
SALT LAKE CITY, UT 841241202
Phone: (801) 743-4750
Fax: (801) 743-4765
Type: Location
PO BOX 281490
ATLANTA, GA 303841490
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $2,736.
Total Amount is formed as General ($2,736) + Research ($0) + Ownership ($0) = $2,736.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($1,514).
Total Amount
$2,736
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,736
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 |
|---|---|
| Boston Scientific Corporation | $1,514 |
| ABIOMED | $831 |
| Medtronic, Inc. | $155 |
| Becton, Dickinson and Company | $140 |
| ATRICURE, INC. | $27 |
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: 2004-05-17
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 |
|---|---|---|---|---|
| I20040517000685 | I | Cardiac Surgery | 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 23 | 23 | $0 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 18 | 18 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC SURGERY | UT | 33533 | Heart artery bypass to repair one artery | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Nurse Practitioner | NV | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Thoracic Surgery, General Surgery | UT | |
| Nurse Practitioner | GA | |
| - | UT | |
| Thoracic Surgery | GA |
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