KIRK RONALD STEPHENS (PA-C) – Dermatology Physician, NPI 1992221980
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for KIRK RONALD STEPHENS (PA-C)
166, 5900 South, South Cottonwood Acres, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841077257
Phone: (801) 268-9672
Type: Location
5900 South, South Cottonwood Acres, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841077293
Phone: (801) 268-9672
Type: Mailing
7396 S UNION PARK AVE STE 201
MIDVALE, UT 840476702
Phone: (801) 567-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $2,301.
Total Amount is formed as General ($2,301) + Research ($0) + Ownership ($0) = $2,301.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: UCB, Inc. ($363).
Total Amount
$2,301
General + Research + Ownership
Payments
108
Total payment records
General Amount
$2,301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $363 |
| Sun Pharmaceutical Industries Inc. | $326 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $319 |
| Galderma Laboratories, L.P. | $255 |
| Janssen Biotech, Inc. | $191 |
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: 2017-09-11
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 |
|---|---|---|---|---|
| I20170911003133 | I | Physician Assistant | 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 | 1,072 | 176 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 354 | 243 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 308 | 223 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 120 | 104 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 87 | 77 | $0 |
Insurance plans in this area (ZIP 84107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| P O D I A T R Y | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Qualified Speech Language Pathologist | CO | |
| N E U R O L O G Y | CO | |
| Family Practice, Sports Medicine | CO | |
| Neurology, Sleep Medicine | CO | |
| Nurse Practitioner | UT |
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