DR. DAVID MATTHEW FEDOR (D.O.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1568571461
Critical Care Medicine (Internal Medicine) Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DAVID MATTHEW FEDOR (D.O.)
5121 S COTTONWOOD ST
MURRAY, UT 841075701
Phone: (801) 507-7000
Type: Location
4401 Harrison Blvd
Ogden, UT 844033195
Phone: (801) 387-2035
Fax: (801) 475-1621
Type: Location
1768 Business Center Dr Ste 100
Reston, VA 201905359
Phone: (800) 762-9244
Fax: (786) 672-6006
Type: Location
McKay-Dee Hospital, 4401, Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States
OGDEN, UT 844033195
Phone: (801) 387-2035
Fax: (801) 475-1621
Type: Location
1768 BUSINESS CENTER DR STE 100
RESTON, VA 201905359
Phone: (800) 762-9244
Fax: (786) 672-6006
Type: Mailing
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $6,100.
Total Amount is formed as General ($6,100) + Research ($0) + Ownership ($0) = $6,100.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Kedplasma LLC ($6,100).
Total Amount
$6,100
General + Research + Ownership
Payments
3
Total payment records
General Amount
$6,100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kedplasma LLC | $6,100 |
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: 2011-09-27
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 |
|---|---|---|---|---|
| I20110927000265 | I | Critical Care (Intensivists) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | UT | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 26 | 26 |
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