DR. KELLY H WOODWARD I D.O., M.P.H.
NPI 1548243645
Preventive Medicine - Public Health & General Preventive Medicine in Park City, UT

Q: What is Kelly Woodward's NPI number?

The NPI number for Kelly Woodward is 1548243645. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Kelly Woodward's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Woodward was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment

5532 LILLEHAMMER LN STE 102, PARK CITY, UT 84098(435) 659-7633(971) 397-0394 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 9, 2025, Mar 4, 2025, Aug 12, 2021 and 1 more (4 updates tracked since 2016).

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About Dr. Kelly H Woodward I D.o., M.p.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY H WOODWARD I D.O., M.P.H. (NPI 1548243645) is an individual public health & general preventive medicine provider in Park City, Utah, licensed in Utah (9693614-1204) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Park City Hospital, and maintains a secondary practice location in Park City.

NPPES Registry Identity

NPI1548243645

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameDR. KELLY H WOODWARD ICredential: D.O., M.P.H.

Location Address5532 LILLEHAMMER LN STE 102Park City, UT 84098-6078

Mailing Address7165 Canyon DrPark City, UT 84098-5382 · (703) 907-9716

Phone(435) 659-7633

Fax(971) 397-0394

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1984

Enumeration DateNovember 22, 2005

Last NPPES UpdateJuly 9, 20254 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1548243645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in UT · 9693614-1204

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 9693614-1204 (UT)

5532 LILLEHAMMER LN STE 102, Park City, UT 84098

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Secondary Practice Location 1

Location 12720 Homestead RdPark City, UT 84098-4881 · Phone (435) 940-9400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly H Woodward I D.o., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749356517

PECOS Enrollment IDI20160707000401

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

80 services67 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park City Hospital

Acute Care Hospitals · Park City, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460057

Location900 Round Valley DrivePark City, UT 84060 · Summit County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84098 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$70.41 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$169.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISABETH NICHOLE DREYER L.AC.

Acupuncturist

5532 LILLEHAMMER LN STE 102
PARK CITY, UT 84098

Summit County (970) 618-4788

AUTUMN BEAR ACUPUNCTURE PLLC

Clinic/Center (Health Service)

5532 LILLEHAMMER LN STE 102
PARK CITY, UT 84098

Summit County (435) 659-7633

AUTUMN BEAR L.AC

Acupuncturist

5532 LILLEHAMMER LN STE 102
PARK CITY, UT 84098

Summit County (435) 659-7633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Woodward's NPI number?

The NPI number for Kelly Woodward is 1548243645. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Kelly Woodward located?

Kelly Woodward practices at 5532 Lillehammer Ln Ste 102, Park City, UT 84098. The listed phone number is (435) 659-7633.

What is Kelly Woodward's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Kelly Woodward enrolled in Medicare?

Yes. Kelly Woodward is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Woodward accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Kelly Woodward as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Woodward affiliated with any hospitals?

According to CMS data, Kelly Woodward is affiliated with Park City Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Woodward was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.