SCOTT R CHECKETTS (MD) – Dermatology Physician, NPI 1790762961

SCOTT R CHECKETTS (MD) is a healthcare provider. based in Layton, Utah. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2772391205 (UT). The NPI Number for SCOTT R CHECKETTS (MD) is 1790762961

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT R CHECKETTS (MD)
NPI
1790762961
Phone
(801) 773-4840
Address
PO BOX 337
Enumeration Date
28 December 2005
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
8017734840
Graduation Year
1999 (27 years ago)
PAC ID
1951320811
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20051121000496
Address ID
UT840418803LA2121X1700300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

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Provider Addresses for SCOTT R CHECKETTS (MD)

  • PO BOX 337

    LAYTON, UT 840410337

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Mailing

  • 1700 West, Evergreen Farms, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840418803

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 103 Open Payments records for all available years, with a total value of $8,328.

Total Amount is formed as General ($1,199) + Research ($7,129) + Ownership ($0) = $8,328.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Eli Lilly and Company ($5,245).

Total Amount

$8,328

General + Research + Ownership

Payments

103

Total payment records

General Amount

$1,199

General payments

Research Amount

$7,129

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2005-11-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051121000496IDermatologyUTTBD

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
17003Destruction of precancer skin growth, 2-14 growths38481$0
99213Established patient office or other outpatient visit, 20-29 minutes292237$0
88305Pathology examination of tissue using a microscope, intermediate complexity226151$0
17110Destruction of skin growth, 1-14 growths126114$0
17000Destruction of precancer skin growth, 1 growth12198$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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Provider's Procedures

SCOTT R CHECKETTS (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYUT17003Destruction of 2-14 skin growths730152
DERMATOLOGYUT88304Pathology examination of tissue using a microscope, moderately low complexity1313

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: 4284547985View full group profile
NameSpecialtyState
Nurse PractitionerUT
Family PracticeUT
Physician AssistantUT
Internal Medicine, EndocrinologyUT
Family PracticeUT
-UT
O T O L A R Y N G O L O G YUT
Physician AssistantAZ
Qualified AudiologistUT
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

What unique ID ties claims to SCOTT R CHECKETTS (MD)?
NPI 1790762961 is assigned to SCOTT R CHECKETTS (MD) under the national enumeration system.
Is SCOTT R CHECKETTS (MD) currently active in the NPI registry?
CMS-published data lists SCOTT R CHECKETTS (MD) as an active registrant.
What does SCOTT R CHECKETTS (MD) treat or focus on?
Patients typically see SCOTT R CHECKETTS (MD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SCOTT R CHECKETTS (MD)?
The page summarizes Layton, Utah for SCOTT R CHECKETTS (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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