CARISSA S MONROY (MD) – Family Medicine Physician, NPI 1760610349
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for CARISSA S MONROY (MD)
660 S 200 E STE 250
SALT LAKE CITY, UT 841113846
Phone: (801) 359-2256
Type: Mailing
2240, Adams Avenue, 25th Street, Ogden, Weber County, Utah, 84401, United States
OGDEN, UT 844011511
Phone: (801) 393-5355
Fax: (801) 394-4609
Type: Mailing
22, South State Street, Clearfield, Davis County, Utah, 84015, United States
CLEARFIELD, UT 840151043
Phone: (801) 393-5355
Fax: (801) 394-4609
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Alkermes, Inc. ($60).
Total Amount
$112
General + Research + Ownership
Payments
6
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $60 |
| Dexcom, Inc. | $21 |
| Hologic Sales and Service, LLC | $19 |
| Organon LLC | $12 |
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: 2021-10-11
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 |
|---|---|---|---|---|
| I20211011001483 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 18 | 12 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 16 | 12 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 16 | 11 | $0 |
Insurance plans in this area (ZIP 84111)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Clinical Social Worker | UT | |
| Clinical Social Worker | UT | |
| Clinical Social Worker | UT | |
| Clinical Social Worker | UT | |
| Occupational Therapist In Private Practice | CO | |
| Clinical Social Worker | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.