Kelly D Jensen
CASTLEVIEW PHYSICIAN PRACTICE, LLC


Address: 280 N Hospital Dr, Suite 3, Price, UT 84501-4211
Phone: 4356372663

Kelly D Jensen (NPI# 1497955330, PAC ID# 3173779824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1497955330
PAC ID by PECOS 3173779824
Professional Enrollment ID I20120810000765
Full Name Kelly D Jensen
Organization Legal Name CASTLEVIEW PHYSICIAN PRACTICE, LLC
Address 280 N Hospital Dr
Suite 3
Price
UT 84501-4211
Phone Number 4356372663
Gender M
Graduation Year 2007
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 6305995598
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460011 CASTLEVIEW HOSPITAL

Other Locations

Address Phone Organization
280 N Hospital Dr, Suite 3, Price, UT 84501-4211 4356372663 CASTLEVIEW PHYSICIAN PRACTICE, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_238_2+ Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 4%
MIPS_EC_238_overall Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 9%

Organization Information

Organization Legal Name CASTLEVIEW PHYSICIAN PRACTICE, LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Chaz Davis Nurse Practitioner Castleview Physician Practice, LLC 317 E 100, Price, UT 84501-2504
Brian J Griffeth Podiatry Castleview Physician Practice, LLC 250 N Fairgrounds Rd, Suite 3, Price, UT 84501-4201
Glenn T Etzel Family Medicine Castleview Physician Practice, LLC 300 N Hospital Dr, Price, UT 84501-4218
Matthew F Brady Family Medicine Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Michael David Clark Nurse Practitioner Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Timothy Adam Callahan Physician Assistant Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Erik M Lyman Otolaryngology Castleview Physician Practice, LLC 280 N Hospital Dr, Price, UT 84501-4211
Paul A Thayn Internal Medicine Castleview Physician Practice, LLC 945 W Hospital Dr, Suite 4, Price, UT 84501-4230
Dannette H Moynier Clinical Social Worker Castleview Physician Practice, LLC 945 W Hospital Dr, Suite 4, Price, UT 84501-4230
Kyle K Jeffery General Surgery Castleview Physician Practice, LLC 945 W Hospital Dr, Suite 3, Price, UT 84501-4230

Office Location

Street Address 280 N HOSPITAL DR
SUITE 3
City PRICE
State UT
Zip 84501-4211

Physicians in the same location

Name Specialty Organization Address
Eugene Douglas Larsen Jr. Internal Medicine Pine Top Medical PC 280 N Hospital Dr, Suite 4, Price, UT 84501-4211
Erik M Lyman Otolaryngology Castleview Physician Practice, LLC 280 N Hospital Dr, Price, UT 84501-4211
David C Bradshaw Obstetrics/gynecology 280 N Hospital Dr, Suite 2, Price, UT 84501-4211
Jon Spencer Pressett General Surgery Castleview Physician Practice, LLC 280 N Hospital Dr, Suite 5, Price, UT 84501-4211
Janis Pitchforth Nurse Practitioner Pine Top Medical PC 280 N Hospital Dr, Suite 4, Price, UT 84501-4211

Physicians in the same zip code

Name Specialty Organization Address
Cori Dawn Callahan Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Judy O Saccomanno Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Mason Geral Livingston Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Chaz Davis Nurse Practitioner Castleview Physician Practice, LLC 317 E 100, Price, UT 84501-2504
Michael J Terry Physical Therapy Prorehab Physical Therapy 590 E 100, Suite 1, Price, UT 84501-2600
Kirk R Player Physical Therapy Prorehab Physical Therapy 590 E 100 N, Suite 1, Price, UT 84501-2600
Matthew F Brady Family Medicine Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Michael David Clark Nurse Practitioner Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Timothy Adam Callahan Physician Assistant Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
David Kenneth Mcomber Nurse Practitioner 590 E 100, Suite 6, Price, UT 84501-2600
Find all physicians in zip 84501

Competitor

Search similar physicians

City PRICE
Zip Code 84501
Specialty ORTHOPEDIC SURGERY
City + Specialty PRICE + ORTHOPEDIC SURGERY

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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