UTAH VALLEY DERMATOLOGY PC
NPI 1922368927
Dermatology in Lehi, UT

Active since May 23, 2012CLIA Certified · 3 labs
680 E MAIN ST, SUITE 201, LEHI, UT 84043(801) 768-8800 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2021, Sep 10, 2018 (2 updates tracked since 2018).

About Utah Valley Dermatology Pc NPPES

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

UTAH VALLEY DERMATOLOGY PC (NPI 1922368927) is a healthcare organization registered as a dermatology in Lehi, Utah and active in the NPI registry since May 2012. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Saratoga Springs, and lists David J Myers, President, as its authorized official.

NPPES Registry Identity

NPI1922368927
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUTAH VALLEY DERMATOLOGY PC
Location Address680 E MAIN ST, SUITE 201Lehi, UT 84043-2241
Mailing Address680 E Main St, Suite 201Lehi, UT 84043-2241 · (801) 768-8800
Organization SubpartNo
Authorized OfficialDavid J MyersPresident · (801) 768-8800
Enumeration DateMay 23, 2012
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1922368927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
680 E MAIN ST, Lehi, UT 84043

Secondary Practice Location 1

Location 124 W Sergeant Court DrSaratoga Springs, UT 84045-5807 · Phone (801) 820-8800 · Fax (801) 820-8200

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Utah Valley Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20120619000526Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Utah Valley Dermatology PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Dermatology
NPI 1356730055
680 E MAIN ST STE 202
Lehi, UT 84043
(801) 768-8800
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1255425252
680 E MAIN ST SUITE 201
Lehi, UT 84043
(801) 768-8800
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1235588658
680 E MAIN ST STE 201
Lehi, UT 84043
(801) 768-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346770286
680 E MAIN ST STE 201
Lehi, UT 84043
(801) 768-8800
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1285998484
62 E THRIVE DR
Saratoga Springs, UT 84045
(801) 768-8800
✔ PECOS✔ Accepts Medicare4.1 mi
Dermatology
NPI 1154809002
62 E THRIVE DR STE 220
Saratoga Springs, UT 84045
(801) 768-8800
✔ PECOS✔ Accepts Medicare4.1 mi
Dermatology
NPI 1356443196
4488 S PECOS RD
Las Vegas, NV 89121
(702) 436-1001
✔ PECOS✔ Accepts Medicare344 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2298055

Utah Valley Dermatology · Provo, UT
Active · expires Jan 25, 2028
CLIA Number46D2298055
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorKevin Myers
Laboratory Phone(801) 768-8800
Laboratory LocationUtah Valley Dermatology1055 N 300 W, Ste 303, Provo, UT 84604
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 46D2258265

Utah Valley Dermatology, Saratoga Springs · Saratoga Springs, UT
Active · expires May 14, 2027
CLIA Number46D2258265
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJordan Harris
Laboratory Phone(801) 768-8800
Laboratory LocationUtah Valley Dermatology, Saratoga Springs62 E Thrive Drive #220, Saratoga Springs, UT 84045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 46D2042238

Utah Valley Dermatology · Lehi, UT
Active · expires Feb 18, 2027
CLIA Number46D2042238
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorDavid J. Myers
Laboratory Phone(801) 768-8800
Laboratory LocationUtah Valley Dermatology3300 N 1200 W Ste 200, Lehi, UT 84043
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Utah Valley Dermatology PC's NPI number?

The NPI number for Utah Valley Dermatology PC is 1922368927. It was assigned to this organization in the NPPES registry on May 23, 2012.

Where is Utah Valley Dermatology PC located?

Utah Valley Dermatology PC is located at 680 E Main St Suite 201, Lehi, UT 84043. The listed phone number is (801) 768-8800.

What is Utah Valley Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Utah Valley Dermatology PC enrolled in Medicare?

Yes. Utah Valley Dermatology PC is registered in the Medicare PECOS enrollment system.

When is Utah Valley Dermatology PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Utah Valley Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Utah Valley Dermatology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (6) and Nurse Practitioner (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Utah Valley Dermatology PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Utah Valley Dermatology PC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Utah Valley Dermatology PC 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.

When was this NPI record last updated?

The NPPES record for Utah Valley Dermatology PC was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.