JONAS LEGRAND PETERSON MD
NPI 1114376431
Family Medicine in Ogden, UT

Q: What is Jonas Peterson's NPI number?

The NPI number for Jonas Peterson is 1114376431. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Q: What is Jonas Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonas Peterson was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 07, 2016PECOS EnrolledAccepts Medicare Assignment

4403 HARRISON BLVD, SUITE A-700, OGDEN, UT 84403(801) 387-5300(801) 387-5333 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jonas Legrand Peterson Md NPPES

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

JONAS LEGRAND PETERSON MD (NPI 1114376431) is an individual family medicine provider in Ogden, Utah, licensed in Utah (104427351205) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114376431

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONAS LEGRAND PETERSONCredential: MD

Location Address4403 HARRISON BLVD, SUITE A-700Ogden, UT 84403-3271

Mailing Address4403 Harrison Blvd, Suite A-700Ogden, UT 84403-3271 · (801) 387-5300 · Fax (801) 387-5333

Phone(801) 387-5300

Fax(801) 387-5333

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 7, 2016

Last NPPES UpdateMay 6, 2019

✔ NPI 1114376431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 104427351205

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4403 HARRISON BLVD, Ogden, UT 84403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonas Legrand Peterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638441462

PECOS Enrollment IDI20170814003143

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 Reassignments

Medicare enrollment records show Jonas Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc

Same address

Pulmonary Disease

4403 HARRISON BLVD STE 3875
Ogden, UT 84403

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1033853775 (801) 387-8290

Weber Human Services

2.6 mi

Mental Health (Including Community Mental Health Center)

237 26TH STREET
Ogden, UT 84401

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

NPI 1043243140 (801) 625-3605

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

89 services31 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims330 services$2.77 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims8,206 services$1.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRYSON S. SMITH, MD, PC

Neurological Surgery

4403 HARRISON BLVD, SUITE 1815
OGDEN, UT 84403

Weber County (801) 387-6520

H DARRELL WOODS, M.D. P.C.

Obstetrics & Gynecology

4403 HARRISON BLVD, SUITE 4440
OGDEN, UT 84403

Weber County (801) 387-4490

IHC HEALTH SERVICES, INC

Internal Medicine (Cardiovascular Disease)

4403 HARRISON BLVD, STE 3490
OGDEN, UT 84403

Weber County (801) 387-2650

IHC HEALTH SERVICES INC

Podiatrist

4403 HARRISON BLVD, #2835
OGDEN, UT 84403

Weber County (801) 387-7945

SCOTT ALLEN ANDELIN MD

Family Medicine

4403 HARRISON BLVD, STE A-700
OGDEN, UT 84403

Weber County (801) 387-5300

DR. CURTIS M CAMPBELL MD

Urology

4403 HARRISON BLVD, SUITE 4400
OGDEN, UT 84403

Weber County (801) 387-4550

DR. JACK D WAHLEN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4403 HARRISON BLVD, STE 3630
OGDEN, UT 84403

Weber County (801) 387-7900

DR. SARA ELIZABETH WOOD D.O.

Obstetrics & Gynecology

4403 HARRISON BLVD, STE 4815
OGDEN, UT 84403

Weber County (801) 387-8350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonas Peterson's NPI number?

The NPI number for Jonas Peterson is 1114376431. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Jonas Peterson located?

Jonas Peterson practices at 4403 Harrison Blvd Suite A-700, Ogden, UT 84403. The listed phone number is (801) 387-5300.

What is Jonas Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonas Peterson enrolled in Medicare?

Yes. Jonas Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jonas Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonas Peterson reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Ogden, UT) and Weber Human Services (Ogden, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonas Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonas Peterson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jonas Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonas Peterson affiliated with any hospitals?

According to CMS data, Jonas Peterson is affiliated with Mckay-Dee Hospital.

When was this NPI record last updated?

The NPPES record for Jonas Peterson was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.