Weston Charles Packard, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

10861488-0501 Issued in UT

Practice address

1561 W 7000 S Ste 201
West Jordan, UT 84084-3556

Phone

(801) 561-1011

NPI assigned

Jul 14, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Podiatry Group LLCGroup PAC ID 2163592379, 14 clinicians

Utah Podiatric Physicians and Surgeons Group LLCGroup PAC ID 4183946940, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Homecare Home Health Salt Lake Home health agency, South Jordan, UT, CCN 467030
• Intermountain Medical Center Hospital, Murray, UT, CCN 460010
• St Mark's Hospital Hospital, Salt Lake City, UT, CCN 460047

Merit-based Incentive Payment System (MIPS)

Final score

76.46 of 100Reported as individual

Quality

53.18

Promoting interoperability

92

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah Podiatric Physicians and Surgeons Group LLC

  dba Utah Musculoskeletal Specialists (UMS)

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1174942460
  Medicare reassignment Care Compare group NPD
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1659540359
  Medicare reassignment Care Compare group NPD
• Utah Podiatric Physicians and Surgeons Group LLC

  dba Utah Musculoskeletal Specialists

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1720795586
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  dba Intermountain Health Home Health Heber City

  • Home Health Agency
  • South Jordan, UT
  • NPI 1447344098
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Intermountain Medical Center

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation
• Northern Utah Healthcare Corporation

  dba St. Mark's Hospital

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1902328644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S STE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-561-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S STE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-561-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Foothill Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841480001",
            "country_code": "US",
            "telephone_number": "801-582-1565 x4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "WESTON",
        "middle_name": "CHARLES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "10861488-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Jo Owen, LCSW
• Kaylee Lynn Owen
• Samantha Ownsbey
• Bridget Pacheco
• Camille Pack, FNP-C
• Alissa Ann Packer, M.D.
• Dalton Packer
• Regan Packer
• Ann Page, MD
• Gianna Paice

• Foot & Ankle Surgery Podiatrist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.