BRENTEN CLARK PUGH (M.D.) – Family Medicine Physician, NPI 1891742508
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
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Provider Addresses for BRENTEN CLARK PUGH (M.D.)
PO BOX 572528
SALT LAKE CITY, UT 841572528
Phone: (801) 747-7279
Fax: (801) 747-7237
Type: Mailing
7478, Campus View Drive, West Jordan, Salt Lake County, Utah, 84084, United States
SUITE 100
WEST JORDAN, UT 840841966
Phone: (801) 280-7774
Fax: (801) 748-2790
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 220 Open Payments records for all available years, with a total value of $3,733.
Total Amount is formed as General ($3,733) + Research ($0) + Ownership ($0) = $3,733.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($956).
Total Amount
$3,733
General + Research + Ownership
Payments
220
Total payment records
General Amount
$3,733
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $956 |
| AstraZeneca Pharmaceuticals LP | $400 |
| PFIZER INC. | $296 |
| Axsome Therapeutics, Inc. | $249 |
| Lilly USA, LLC | $154 |
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: 2005-03-08
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 |
|---|---|---|---|---|
| I20050308000416 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 376 | 171 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 114 | 114 | $0 |
| 83036 | Hemoglobin a1c level | 94 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 35 | $0 |
| G0009 | Administration of pneumococcal vaccine | 31 | 30 | $0 |
Insurance plans in this area (ZIP 84157)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Family Practice | UT |
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