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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.