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NATHAN ROBERT PETERSON M.D.
NPI 1194135350
Internal Medicine - Hematology & Oncology in Provo, UT

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2019, Mar 17, 2018, Jun 16, 2017 (3 updates tracked since 2017).

About Nathan Robert Peterson M.d. NPPES

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

NATHAN ROBERT PETERSON M.D. (NPI 1194135350) is an individual hematology & oncology provider in Provo, Utah, licensed in Utah (12407595-1205) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in American Fork.

NPPES Registry Identity

NPI1194135350
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameNATHAN ROBERT PETERSONCredential: M.D.
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7575
Phone(801) 357-7575
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2014
Enumeration DateApril 28, 2014
Last NPPES UpdateMarch 29, 20243 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
✔ NPI 1194135350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in UT · 12407595-1205
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Location 1

Location 1170 N 1100 EAmerican Fork, UT 84003-2096 · Phone (801) 855-3300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health 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

Nathan Robert Peterson M.d. 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 ID8224321518
PECOS Enrollment IDI20211022002472
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

4

Medicare enrollment records show Nathan Peterson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Pediatric Critical Care Medicine
1034 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1174039614 (801) 357-3809
Northeastern Utah Medical Group
112 mi
Family Medicine
210 W 300 N 7-3
Roosevelt, UT 84066
  • Reassigned Medicare billing, Utah enrollment
  • 78 clinicians in this Medicare group
NPI 1982664199 (435) 722-3971
Phoenixville Clinic Company LLC
1,897 mi
Vascular Surgery
420 W LINFIELD TRAPPE RD, STE 1100
Limerick, PA 19468
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
NPI 1790746345 (610) 495-2550
Main Line Healthcare
1,907 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

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 5

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.
236 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460026
Location1000 North Main StreetRichfield, UT 84701 · Sevier County
Emergency services Birthing friendly

Delta Community Hospital

Critical Access Hospitals · Delta, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461300
Location126 South White Sage AvenueDelta, UT 84624 · Millard County
Emergency services Birthing friendly

Sanpete Valley Hospital - Cah

Critical Access Hospitals · Mount Pleasant, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461303
Location1100 South Medical DriveMount Pleasant, UT 84647 · Sanpete County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
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.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Nathan Peterson's NPI number?

The NPI number for Nathan Peterson is 1194135350. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Nathan Peterson located?

Nathan Peterson practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7575.

What is Nathan Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Nathan Peterson enrolled in Medicare?

Yes. Nathan 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 Nathan Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Peterson reassigns Medicare benefits to 4 organizations: Ihc Health Services Inc (Provo, UT), Northeastern Utah Medical Group (Roosevelt, UT), Phoenixville Clinic Company LLC (Limerick, PA) and Main Line Healthcare (Newtown Square, PA). 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 Nathan Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Nathan 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 Nathan Peterson affiliated with any hospitals?

According to CMS data, Nathan Peterson is affiliated with Utah Valley Hospital, American Fork Hospital, Sevier Valley Hospital, Delta Community Hospital and Sanpete Valley Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Nathan Peterson was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.