DR. ARMEN KHACHATRYAN (MD) – Orthopaedic Surgery Physician, NPI 1114930781

DR. ARMEN KHACHATRYAN (MD) is a healthcare provider. based in West jordan, Utah. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. A79409 (CA). The NPI Number for DR. ARMEN KHACHATRYAN (MD) is 1114930781

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ARMEN KHACHATRYAN (MD)
NPI
1114930781
Phone
(801) 601-2825
Address
PO BOX 150
Enumeration Date
14 August 2006
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8015683480
Graduation Year
1996 (30 years ago)
PAC ID
3678673365
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20070710000958
Address ID
UT840885712WE3584X9000303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

325 ORTHOPEDIC SURGERY in UT

Provider Addresses for DR. ARMEN KHACHATRYAN (MD)

  • 150, Jordan Shore Drive, Poland, Androscoggin County, Maine, 04274, United States

    WEST JORDAN, UT 840840150

    Phone: (801) 601-2825

    Fax: (801) 562-3169

    Type: Mailing

  • 3584 WEST 9000 SOUTH SUITE 209

    WEST JORDAN, UT 84088

    Phone: (801) 903-5688

    Fax: (801) 208-6358

    Type: Mailing

  • 3584, 9000 South, Vista Plat, West Jordan, Salt Lake County, Utah, 84088, United States

    #405

    WEST JORDAN, UT 840885710

    Phone: (801) 568-3480

    Fax: (801) 562-3169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 267 Open Payments records for all available years, with a total value of $256,370.

Total Amount is formed as General ($256,370) + Research ($0) + Ownership ($0) = $256,370.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ZIMVIE INC. ($71,281).

Total Amount

$256,370

General + Research + Ownership

Payments

267

Total payment records

General Amount

$256,370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2007-07-10

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
I20070710000958IOrthopedic SurgeryUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2825$0
72050X-ray of upper spine, 4-5 views2121$0
72110X-ray of lower and sacral spine, minimum of 4 views1717$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99214Established patient office or other outpatient visit, 30-39 minutes1414$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: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

How is DR. ARMEN KHACHATRYAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ARMEN KHACHATRYAN (MD) with NPI 1114930781.
Is DR. ARMEN KHACHATRYAN (MD) listed as active for patients and plans?
The listing shows DR. ARMEN KHACHATRYAN (MD) as active in the NPI system.
What is DR. ARMEN KHACHATRYAN (MD)'s primary classification?
Orthopaedic Surgery Physician is the headline specialty for DR. ARMEN KHACHATRYAN (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. ARMEN KHACHATRYAN (MD) serve?
DR. ARMEN KHACHATRYAN (MD)'s listing highlights West Jordan, Utah; more addresses can appear in NPPES.
Why does DR. ARMEN KHACHATRYAN (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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