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Kelly Marvin Jeppesen

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NPI Number Detailed Information

Provider Information:

Name: Kelly Marvin Jeppesen
Gender: M
Provider License Number If Given: 7730032-1205

NPI Information:

NPI: 1568790558
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 12/2/2009

Last Update Date: 8/6/2015

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 308
Monticello, UT 84535
Phone Number: 4355872116
Fax Number: 4355873004

Provider Business Practice Location Address:

Address: 380 WEST 100 NORTH SUITE A
Monticello, UT 84535
Phone Number: 4355875054
Fax Number: 4355873004

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: UT

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About Kelly Marvin Jeppesen

Kelly Marvin Jeppesen ( KELLY MARVIN JEPPESEN ) is Family Family Medicine Physician in Monticello, UT. The NPI Number for Kelly Marvin Jeppesen is 1568790558.
The current location address for Kelly Marvin Jeppesen is 380 WEST 100 NORTH SUITE A Monticello, UT 84535 and the contact number is 4355872116 and fax number is 4355873004. The mailing address for Kelly Marvin Jeppesen is PO BOX 308 Monticello, UT 84535- 4355875054 (mailing address contact number - 4355872116).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kelly Marvin Jeppesen ?


Answer: The NPI Number for Kelly Marvin Jeppesen is 1568790558

Where is Kelly Marvin Jeppesen located?


Answer: Kelly Marvin Jeppesen is located at 380 WEST 100 NORTH SUITE A Monticello, UT 84535.

What is the specialty for Kelly Marvin Jeppesen ?


Answer: The Specialty of Kelly Marvin Jeppesen is Family Family Medicine Physician.

Are there any online reviews for Kelly Marvin Jeppesen ?


Answer: Yes! Check It Now.

Are there any other health care providers in Monticello, UT?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kelly Marvin Jeppesen

Number of HCPCS 11
Number of Medicare Beneficiaries 27
Number of Services 102
Total Submitted Charge Amount 16340.5
Total Medicare Allowed Amount 8850.01
Total Medicare Payment Amount 6889.56
Total Medicare Standardized Payment Amount 7199.63
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 11
Number of Medicare Beneficiaries With Medical 27
Number of Medical Services 102
Total Medical Submitted Charge Amount 16340.5
Total Medical Medicare Allowed Amount 8850.01
Total Medical Medicare Payment Amount 6889.56
Total Medical Medicare Standardized Payment Amount 7199.63
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 11
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 16
Number of Male Beneficiaries 11
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.63
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.41
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9854

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2121
Number of Standardized 30-Day Fills 4776
Aggregate Cost Paid for All Claims 245680.53
Number of Day's Supply for All Claims 138186
Number of Medicare Beneficiaries 188
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1916
Including Refills, for Beneficiaries Age 65+ 4378.5333333
Beneficiaries Age 65+ 196826.32
Number of Day's Supply for All Claims for Beneficaries Age 65+ 126968
Number of Medicare Beneficiaries Age 65+ 168
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 268
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1835
Aggregate Cost Paid for Generic Drugs 32233.16
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 18
Aggregate Cost Paid for Other Drugs 1320.12
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 198
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 12069.23
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1923
Aggregate Cost Paid for Claims Filled by 233611.3
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 475
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 114555.95
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1646
by Low-Income Subsidy 131124.58
Total Claims of Opioid Drugs, Including 78
Aggregate Cost Paid for Opioid Drugs 1554.11
Opioid Claims 20
Opioid_Tot_Clms divided by the Tot_Clms 3.6775106082
Total Claims of Long-Acting Opioid Drugs 15
Aggregate Cost Paid for Long-Acting Opioid 1115.54
Number of Day's Supply of All Long-Acting 430
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 19.230769231
Total Claims of Antibiotic Drugs, Including 53
Aggregate Cost Paid for Antibiotic Drugs 15107.86
Antibiotic Claims 31
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 13
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 97.52
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 74.25
Number of Beneficiaries Age Less Than 65 20
Number of Beneficiaries Age 65 to 74 75
Number of Beneficiaries Age 75 to 84 62
Number of Female Beneficiaries 97
Number of Male Beneficiaries 91
Number of Non-Hispanic White 165
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 13
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 158
Average Hierarchical Condition Category 1.1732013934

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