KELLY W HUBBARD (M.D.) – Dermatology Physician, NPI 1871542308
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
Provider Addresses for KELLY W HUBBARD (M.D.)
530 W 465 N Ste 701
Providence, UT 843328006
Phone: (435) 752-5741
Type: Location
560 W 465 N STE 604
PROVIDENCE, UT 843328006
Phone: (435) 753-1600
Fax: (435) 753-9521
Type: Mailing
2245 N 400 E STE 104
NORTH LOGAN, UT 843411785
Phone: (435) 753-1600
Fax: (435) 753-9521
Type: Location
274, Main Street, Sterling, Logan County, Colorado, 80751, United States
LOGAN, UT 843213915
Phone: (435) 753-1600
Fax: (435) 753-9521
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,526.
Total Amount is formed as General ($1,526) + Research ($0) + Ownership ($0) = $1,526.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($380).
Total Amount
$1,526
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,526
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $380 |
| ABBVIE INC. | $219 |
| UCB, Inc. | $211 |
| Janssen Biotech, Inc. | $115 |
| Dermavant Sciences, Inc. | $98 |
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: 2006-04-12
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 |
|---|---|---|---|---|
| I20060412000277 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,662 | 381 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 786 | 559 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 571 | 447 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 485 | 179 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 235 | 155 | $0 |
Insurance plans in this area (ZIP 84332)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| D E R M A T O L O G Y | MN |
Reviews
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