WESTON CHARLES PACKARD (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1902328644

WESTON CHARLES PACKARD (DPM) is a healthcare provider. based in West jordan, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 10861488-0501 (UT). The NPI Number for WESTON CHARLES PACKARD (DPM) is 1902328644

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
WESTON CHARLES PACKARD (DPM)
NPI
1902328644
Phone
(801) 561-1011
Address
1561 W 7000 S STE 201
Enumeration Date
14 July 2017
Last Update Date
6 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015692696
Graduation Year
2017 (9 years ago)
PAC ID
4688092026
Group Practice PAC ID
4183946940
Professional Enrollment ID
I20200916001614
Address ID
UT840843556WE1561X7000304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

198 PODIATRY in UT

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Provider Addresses for WESTON CHARLES PACKARD (DPM)

  • 7000 South, West Jordan, Salt Lake County, Utah, 84084, United States

    WEST JORDAN, UT 840843556

    Phone: (801) 561-1011

    Type: Location

  • 500 Foothill Dr

    Salt Lake City, UT 841480001

    Phone: (801) 582-1565

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $806.

Total Amount is formed as General ($806) + Research ($0) + Ownership ($0) = $806.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($166).

Total Amount

$806

General + Research + Ownership

Payments

44

Total payment records

General Amount

$806

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2020-09-16

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
I20200916001614IPodiatryUTTBD

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
11721Removal of fingernails or toenails, 6 or more nails723280$0
11056Removal of noncancer thickened skin growth, 2-4 growths377113$0
99213Established patient office or other outpatient visit, 20-29 minutes201103$0
11042Removal of skin and tissue, 20.0 sq cm or less13636$0
11055Removal of noncancer thickened skin growth, 1 growth9136$0
View full utilization report →

Insurance plans in this area (ZIP 84084)

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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: 4183946940View full group profile
NameSpecialtyState
-UT
Nurse PractitionerUT
P O D I A T R YWA
P O D I A T R YUT
P O D I A T R YUT
P O D I A T R YUT
P O D I A T R YUT

Reviews

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Frequently asked questions

What federal number belongs to WESTON CHARLES PACKARD (DPM)?
The federal identifier for WESTON CHARLES PACKARD (DPM) is NPI 1902328644.
Is WESTON CHARLES PACKARD (DPM)'s NPI currently valid?
The extract we use shows WESTON CHARLES PACKARD (DPM) as active.
Does WESTON CHARLES PACKARD (DPM) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for WESTON CHARLES PACKARD (DPM). Clinical services aligned with this taxonomy classification.
Where is WESTON CHARLES PACKARD (DPM)'s primary listing?
We display West Jordan, Utah because that is what the record indicates for WESTON CHARLES PACKARD (DPM).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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