SCOTT E SOUTHWORTH (MD) – Internal Medicine Physician, NPI 1972602910

SCOTT E SOUTHWORTH (MD) is a healthcare provider. based in Farmington, Utah. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 173151-1205 (UT). The NPI Number for SCOTT E SOUTHWORTH (MD) is 1972602910

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT E SOUTHWORTH (MD)
NPI
1972602910
Phone
(801) 294-9333
Address
140 N UNION AVE STE F-300
Enumeration Date
22 September 2006
Last Update Date
7 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8012921422
Graduation Year
1984 (42 years ago)
PAC ID
5597792358
Group Practice PAC ID
0840776688
Professional Enrollment ID
I20050722000717
Address ID
UT840108925BO520XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

903 INTERNAL MEDICINE in UT

Provider Addresses for SCOTT E SOUTHWORTH (MD)

  • 140 N UNION AVE STE F-300

    FARMINGTON, UT 840252953

    Phone: (801) 294-9333

    Type: Location

  • 520 MEDICAL DR STE 300

    BOUNTIFUL, UT 840108925

    Phone: (801) 292-1422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,968.

Total Amount is formed as General ($1,468) + Research ($500) + Ownership ($0) = $1,968.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Lucid Diagnostics Inc. ($513).

Total Amount

$1,968

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,468

General payments

Research Amount

$500

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: 2005-07-22

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
I20050722000717IInternal MedicineUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes238123$0
99213Established patient office or other outpatient visit, 20-29 minutes15898$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit105105$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10067$0
99239Hospital discharge day management, more than 30 minutes7472$0
View full utilization report →

Insurance plans in this area (ZIP 84025)

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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: 0840776688View full group profile
NameSpecialtyState
Family PracticeUT
Physician AssistantUT
Physician AssistantUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Internal MedicineUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Family PracticeCO
Family PracticeUT
Family PracticeUT
Internal MedicineUT

Reviews

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Frequently asked questions

Is there an official ID for SCOTT E SOUTHWORTH (MD) in U.S. healthcare records?
The official identifier for SCOTT E SOUTHWORTH (MD) is NPI 1972602910.
Is there an active status for SCOTT E SOUTHWORTH (MD)?
For scheduling context, SCOTT E SOUTHWORTH (MD) is shown as active in the registry.
How would a patient describe SCOTT E SOUTHWORTH (MD)'s focus?
For SCOTT E SOUTHWORTH (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SCOTT E SOUTHWORTH (MD) associated with Farmington?
Public fields place SCOTT E SOUTHWORTH (MD) around Farmington, Utah. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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