Kellen Tage Hansen, D.O.
NPI 1396007316ActiveIndividual· Family Medicine, Sports Medicine· Lehi, UT
Family Medicine, Sports Medicine (D.O.) with Caribou Medical Center, Inc and 2 other groups, practicing in Lehi, Utah. 45 Medicare patients in 2024, $14,390 paid; all of their 58 Part D prescriptions were generic. Orthofix Medical, Inc. was the largest of 2 companies reporting payments in 2025, $95.00 in all, mostly food and beverage. Lists Caribou Medical Center as a hospital affiliation.
Overview
| NPI | 1396007316 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 14, 2012 |
| Last updated in NPPES | Nov 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 10266619-1204 | UT |
| Emergency Medicine | 207P00000X | 02004307A | IN |
| Family Medicine | 207Q00000X | 10266619-1204 | UT |
| Family Medicine | 207Q00000X | 02004307A | IN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (ID); Practitioner - Family Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 499 across 34 procedure codes |
| Paid by Medicare | $14,390 |
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 63 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $276.52 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Caribou Medical Center, IncSoda Springs, ID · 39 clinicians
- Caribou Memorial HospitalSoda Springs, ID · 16 clinicians
- Sportsmed Associates LLCLehi, UT · 8 clinicians
Hospital affiliation
- Caribou Medical CenterSoda Springs, ID
Industry payments (Open Payments)
- 2025$95.00 · 12 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Orthofix Medical, Inc. | $80.01 | 11 |
| Ferring Pharmaceuticals Inc. | $14.99 | 1 |
What the 2025 payments were for
- Food and Beverage$95.00 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine, Sports Medicine providers in Lehi
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