KELLY L HAMBLIN (DPM) – Podiatrist, NPI 1770515926
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for KELLY L HAMBLIN (DPM)
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
3181 W 9000 S
WEST JORDAN, UT 840885610
Phone: (801) 965-3600
Type: Location
Randall's Market, 3235 W, Cody Brotherson Parkway, West Valley City, Salt Lake County, Utah, 84119, United States
WEST VALLEY CITY, UT 84120
Phone: (801) 965-3600
Fax: (801) 965-3526
Type: Mailing
9000 South, West Jordan, Salt Lake County, Utah, 84081, United States
West Jordan, UT 84088
Phone: (801) 352-5900
Fax: (801) 352-5914
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $3,012.
Total Amount is formed as General ($3,012) + Research ($0) + Ownership ($0) = $3,012.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Paragon 28, Inc. ($1,228).
Total Amount
$3,012
General + Research + Ownership
Payments
24
Total payment records
General Amount
$3,012
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragon 28, Inc. | $1,228 |
| Active Medical, LLC | $643 |
| Arthrex, Inc. | $612 |
| Accufix Surgical Inc. | $423 |
| Orthofix Medical, Inc. | $42 |
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: 2006-08-18
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 |
|---|---|---|---|---|
| I20060818000128 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 73 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 107 | 49 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 98 | 64 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 79 | 79 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 68 | 13 | $0 |
Insurance plans in this area (ZIP 84119)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| - | UT | |
| Pain Management | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Family Practice | UT | |
| Internal Medicine | UT |
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