DR. KEITH DUFFY (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1770779050

DR. KEITH DUFFY (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 6099540-1205 (UT). The NPI Number for DR. KEITH DUFFY (M.D.) is 1770779050

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH DUFFY (M.D.)
NPI
1770779050
Phone
(801) 587-6340
Address
PO BOX 3208
Enumeration Date
19 September 2007
Last Update Date
5 November 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
8015853229
Graduation Year
2004 (22 years ago)
PAC ID
2668540154
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20100902000519
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
kduffy16731@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

197 DERMATOLOGY in UT

Provider Addresses for DR. KEITH DUFFY (M.D.)

  • PO BOX 3208

    SALT LAKE CITY, UT 841103208

    Phone: (801) 587-6340

    Type: Mailing

  • UNIVERSITY OF UTAH DEPT OF

    50 N MEDICAL DR

    SALT LAKE CITY, UT 841121102

    Phone: (801) 587-6340

    Fax: (801) 587-6346

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $1,769.

Total Amount is formed as General ($1,769) + Research ($0) + Ownership ($0) = $1,769.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($1,742).

Total Amount

$1,769

General + Research + Ownership

Payments

3

Total payment records

General Amount

$1,769

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100902000519IDermatologyUTTBD
I20250610001424IDermatologyHITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,337898$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks147123$0
88341Special stained specimen slides to examine tissue, each additional procedure14645$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks11469$0
88312Special stained specimen slides to identify organisms including interpretation and report11477$0
View full utilization report →

Insurance plans in this area (ZIP 84110)

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Provider's Procedures

DR. KEITH DUFFY (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYUT13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2624
DERMATOLOGYUT88307Pathology examination of tissue using a microscope, moderately high complexity4614
DERMATOLOGYUT88342Tissue or cell analysis by immunologic technique7557

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

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Frequently asked questions

What unique ID ties claims to DR. KEITH DUFFY (M.D.)?
NPI 1770779050 is assigned to DR. KEITH DUFFY (M.D.) under the national enumeration system.
Is DR. KEITH DUFFY (M.D.)'s NPI currently valid?
The extract we use shows DR. KEITH DUFFY (M.D.) as active.
Does DR. KEITH DUFFY (M.D.) list a primary specialty?
If you are matching referrals, note MOHS-Micrographic Surgery Physician for DR. KEITH DUFFY (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. KEITH DUFFY (M.D.) practice in Utah?
You will see Salt Lake City, Utah on file for DR. KEITH DUFFY (M.D.) alongside any extra practice locations.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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