DR. BROCK C HANSEN (M.D.) – Ophthalmology Physician, NPI 1992123376
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OPHTHALMOLOGY in UT
Provider Addresses for DR. BROCK C HANSEN (M.D.)
PO BOX 30015
DPT 93
SALT LAKE CITY, UT 841300015
Phone: (801) 476-0494
Fax: (801) 479-3937
Type: Mailing
4360 WASHINGTON BLVD
OGDEN, UT 844031866
Phone: (801) 476-0494
Fax: (801) 479-3937
Type: Location
1025 E 3300 S Ste B
Salt Lake City, UT 841064389
Phone: (801) 476-0494
Type: Location
214 W 1500 S Ste 300
Bountiful, UT 840107408
Phone: (801) 476-0494
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,480.
Total Amount is formed as General ($1,480) + Research ($0) + Ownership ($0) = $1,480.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($381).
Total Amount
$1,480
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,480
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. | $381 |
| Alcon Vision LLC | $278 |
| BIOTISSUE HOLDINGS, INC. | $247 |
| Glaukos Corporation | $206 |
| Johnson & Johnson Surgical Vision, Inc. | $137 |
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: 2019-04-29
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 |
|---|---|---|---|---|
| I20190429000891 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 398 | 388 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 365 | 184 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 248 | 124 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 204 | 146 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 160 | 152 | $0 |
Insurance plans in this area (ZIP 84130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OK | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P T O M E T R Y | WY | |
| O P H T H A L M O L O G Y | NY | |
| O P H T H A L M O L O G Y | IN | |
| O P H T H A L M O L O G Y | UT | |
| - | UT | |
| O P H T H A L M O L O G Y | UT | |
| - | UT |
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