Doctor profile · Federal record
Dr. Utibe Etudor, NP
Gerontology Nurse Practitioner (CMS: Nurse Practitioner) · Prescott, AZ
- NPI 1538725916
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
802 Ainsworth Dr Ste A
Prescott, AZ 863011623
(928) 771-5548
fax (928) 771-5549 - Mailing address
-
Po Box 10880
Prescott, AZ 863040880
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- September 29, 2025
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363LG0600X — NUCC code
- State license (1)
- Arizona #234106
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538725916. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
807
Distinct HCPCS
8
Medicare allowed
$67,928
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 221 | 221 | $92 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 203 | 173 | $74 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 179 | 179 | $60 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 105 | 95 | $105 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 61 | 61 | $137 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 15 | 15 | $46 | |
99442 |
Telephone medical discussion with physician, 11-20 minutes | 12 | 12 | $59 | |
99443 |
Telephone medical discussion with physician, 21-30 minutes | 11 | 11 | $86 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 100. This provider delivers 8.1× the peer median.Open Payments
Industry payments received
All-time total
$1,510
Transactions
64
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 31 | $675.26 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $236.33 | |
| Gilead Sciences, Inc. | 11 | $197.31 | |
| Madrigal Pharmaceuticals | 2 | $97.44 | |
| GENZYME CORPORATION | 1 | $75.85 | |
| Merck Sharp & Dohme LLC | 3 | $71.90 | |
| Janssen Biotech, Inc. | 3 | $63.10 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 2 | $40.55 | |
| Regeneron Healthcare Solutions, Inc. | 1 | $29.95 | |
| Intercept Pharmaceuticals, Inc. | 1 | $22.02 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,266
Patients
842
Total drug cost
$197,035
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 380 | 365 | $9,272 |
| Pantoprazole Sodium | Generic | 140 | 60 | $2,527 |
| Omeprazole | Generic | 116 | 50 | $1,682 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 94 | 94 | $7,394 |
| Sucralfate | Generic | 91 | 36 | $3,883 |
| Famotidine | Generic | 84 | 32 | $1,894 |
| Plenvu (Peg3350/Sod Sul/Nacl/Kcl/Asb/C) | Brand | 80 | 80 | $11,848 |
| Dicyclomine Hcl | Generic | 60 | 30 | $1,293 |
| Creon (Lipase/Protease/Amylase) | Brand | 53 | 19 | $106,768 |
| Lactulose | Generic | 36 | 21 | $784 |
Frequently asked questions
What is Dr. Utibe Etudor's medical specialty?
Dr. Utibe Etudor practices Gerontology Nurse Practitioner in Prescott, AZ.
Where does Dr. Utibe Etudor practice?
Dr. Utibe Etudor practices at 802 Ainsworth Dr Ste A, Prescott, AZ 863011623. Office phone: 9287715548.
What is Dr. Utibe Etudor's NPI?
Dr. Utibe Etudor's National Provider Identifier (NPI) is 1538725916, issued by NPPES.
Does Dr. Utibe Etudor accept Medicare assignment?
Yes. Dr. Utibe Etudor accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Utibe Etudor commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99202). Source: CMS Medicare Physician & Other Practitioners file.