Utah Bone and Joint Specialists – Foot & Ankle Surgery Podiatrist, NPI 1164925467
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Utah Bone and Joint Specialists
6360 S 3000 E STE 210
SALT LAKE CITY, UT 841216972
Phone: (435) 615-8822
Fax: (435) 615-8823
Type: Mailing
2326 N 400 E Ste 102
Tooele, UT 840743460
Phone: (801) 261-1391
Type: Location
97 Professional Way
Payson, UT 846511614
Phone: (801) 765-1718
Type: Location
504 E 770 N
Orem, UT 840974101
Phone: (801) 765-1718
Type: Location
1184 E 80 N
American Fork, UT 840032906
Phone: (801) 763-3885
Type: Location
5801 S FASHION BLVD STE 120
MURRAY, UT 841078115
Phone: (801) 261-1391
Fax: (801) 261-1394
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (646 days ago).
Enrollment records
2
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20171206002217 | O | Physician - Podiatry | UT | 2026-04-30 |
| O20180323001277 | O | Clinic/Group Practice | UT | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84121)
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