DR. SARAH CONNORS PETERSEN MD
NPI 1073786711
Pediatrics in South Jordan, UT

Q: What is Sarah Petersen's NPI number?

The NPI number for Sarah Petersen is 1073786711. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Q: What is Sarah Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Petersen was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2008PECOS Enrolled

5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84095(801) 213-4500(801) 213-4509 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Sarah Connors Petersen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARAH CONNORS PETERSEN MD (NPI 1073786711) is an individual pediatrics provider in South Jordan, Utah, licensed in Utah (7536208-1205) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073786711

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SARAH CONNORS PETERSENCredential: MD

Location Address5126 W DAYBREAK PKWYSouth Jordan, UT 84095-5994

Mailing AddressPo Box 510708Salt Lake City, UT 84151-0708 · (801) 213-3900

Phone(801) 213-4500

Fax(801) 213-4509

Sole ProprietorNo

Enumeration DateApril 2, 2008

Last NPPES UpdateNovember 11, 2021

NPPES CertifiedNovember 11, 2021

✔ NPI 1073786711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in UT · 7536208-1205✔ Licensed in MO · 2006023670

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5126 W DAYBREAK PKWY, South Jordan, UT 84095

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sarah Connors Petersen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Community Physicians Group

Same address

Family Medicine

5126 W DAYBREAK PKWY, STE 600
South Jordan, UT 84095

Reassigned Medicare billing, Utah enrollment
295 clinicians in this Medicare group

NPI 1780088351 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH JUNK DPT

Physical Therapist