DR. KEITH DUFFY (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1770779050
MOHS-Micrographic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $1,742 |
| Novartis Pharmaceuticals Corporation | $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: 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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100902000519 | I | Dermatology | UT | TBD |
| I20250610001424 | I | Dermatology | HI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,337 | 898 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 147 | 123 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 146 | 45 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 114 | 69 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 114 | 77 | $0 |
Insurance plans in this area (ZIP 84110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | UT | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 26 | 24 |
| DERMATOLOGY | UT | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 46 | 14 |
| DERMATOLOGY | UT | 88342 | Tissue or cell analysis by immunologic technique | 75 | 57 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| A N E S T H E S I O L O G Y | UT |
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