KELLY MARVIN JEPPESEN MD
NPI 1568790558
Family Medicine in Monticello, UT

Q: What is Kelly Jeppesen's NPI number?

The NPI number for Kelly Jeppesen is 1568790558. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Q: What is Kelly Jeppesen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Jeppesen was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 December 02, 2009PECOS Enrolled

380 WEST 100 NORTH, SUITE A, MONTICELLO, UT 84535(435) 587-5054(435) 587-3004 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Kelly Marvin Jeppesen Md NPPES

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

KELLY MARVIN JEPPESEN MD (NPI 1568790558) is an individual family medicine provider in Monticello, Utah, licensed in Utah (7730032-1205) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with San Juan Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1568790558

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKELLY MARVIN JEPPESENCredential: MD

Location Address380 WEST 100 NORTH, SUITE AMonticello, UT 84535-1054

Mailing AddressPo Box 308Monticello, UT 84535-0308 · (435) 587-2116 · Fax (435) 587-3004

Phone(435) 587-5054

Fax(435) 587-3004

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 2, 2009

Last NPPES UpdateAugust 6, 2015

✔ NPI 1568790558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 7730032-1205

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

380 WEST 100 NORTH, Monticello, UT 84535

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Other Identifiers 2

Medicaid1568790558UT

Medicare PINU000072188UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Molina Healthcare, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marvin Jeppesen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608060876

PECOS Enrollment IDI20101101001549, I20230322002762

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.

Hospital Affiliations CMS Care Compare 2

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

San Juan Hospital

Critical Access Hospitals · Monticello, UT

OwnershipVoluntary non-profit - Other

CMS Certification Number461308

Location380 West 100 NorthMonticello, UT 84535 · San Juan County

Emergency services

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number461310

Location802 South 200 WestBlanding, UT 84511 · San Juan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84535 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

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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 19

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers16 claims40 services$5.16 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers13 claims13 services$46.22 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers12 claims12 services$117.00 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers12 claims36 services$40.87 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers12 claims12 services$62.50 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers14 claims14 services$22.67 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers11 claims11 services$20.00 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers20 claims116 services$3.00 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers11 claims11 services$14.13 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers92 claims92 services$19.88 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$843.56 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.71 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims11 services$52.95 avg. paid by Medicare

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

8 suppliers157 claims157 services$109.38 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers25 claims25 services$35.60 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier14 claims840 services$4.78 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier12 claims720 services$0.83 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 suppliers16 claims16 services$194.85 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers24 claims24 services$24.96 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 5

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

SAN JUAN COUNTY HOSPITAL

Clinic/Center (Emergency Care)

380 WEST 100 NORTH
MONTICELLO, UT 84535

San Juan County (435) 587-1123

CANYON VIEW MEDICAL GROUP LLC

Obstetrics & Gynecology

380 WEST 100 NORTH
MONTICELLO, UT 84535

San Juan County (801) 465-2559

JANE SPARKS APRN

Nurse Practitioner (Family)

380 WEST 100 NORTH, SUITE A
MONTICELLO, UT 84535

San Juan County (435) 587-5054

NICOLE MARIE FOX PA-C

Physician Assistant

380 WEST 100 NORTH
MONTICELLO, UT 84535

San Juan County (435) 587-2116

SAN JUAN COUNTY HOSPITAL

General Acute Care Hospital (Critical Access)

380 WEST 100 NORTH
MONTICELLO, UT 84535

San Juan County (435) 587-2116

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 Jeppesen's NPI number?

The NPI number for Kelly Jeppesen is 1568790558. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Kelly Jeppesen located?

Kelly Jeppesen practices at 380 West 100 North Suite A, Monticello, UT 84535. The listed phone number is (435) 587-5054.

What is Kelly Jeppesen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Jeppesen enrolled in Medicare?

Yes. Kelly Jeppesen is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Jeppesen accept?

Health plans from HMSA, Molina Healthcare, Select Health and University of Utah Health Plans list Kelly Jeppesen 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 Jeppesen affiliated with any hospitals?

According to CMS data, Kelly Jeppesen is affiliated with San Juan Hospital and Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Jeppesen was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.