PEGGY B PETERSEN
NPI 1245238104
Anesthesiology in Salt Lake City, UT
About Peggy B Petersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEGGY B PETERSEN (NPI 1245238104) is an individual anesthesiology provider in Salt Lake City, Utah, licensed in Utah (1748333-1205) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of University Of Utah School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Peggy B Petersen 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.
Medicare Billing Reassignment
Medicare enrollment records show Peggy Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84124
- Reassigned Medicare billing, Utah enrollment
- 59 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
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 Peggy Petersen's NPI number?
The NPI number for Peggy Petersen is 1245238104. It was assigned to this individual provider in the NPPES registry on July 13, 2005.
Where is Peggy Petersen located?
Peggy Petersen practices at 3838 S 700 E Ste 200, Salt Lake City, UT 84106. The listed phone number is (801) 261-4988.
What is Peggy Petersen's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Peggy Petersen enrolled in Medicare?
Yes. Peggy Petersen 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 organization bills Medicare for Peggy Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peggy Petersen reassigns Medicare benefits to Millcreek Anesthesia PC (Salt Lake City, UT). The 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 Peggy Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Peggy Petersen affiliated with any hospitals?
According to CMS data, Peggy Petersen is affiliated with St Mark's Hospital.
When was this NPI record last updated?
The NPPES record for Peggy Petersen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Peggy B Petersen · NPI 1245238104
Anesthesiology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1245238104 (Entity type: Individual)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 1748333-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 3838 S 700 E, STE 200, Salt Lake City, UT 84106-1466
- **Phone:** (801) 261-4988 · **Fax:** (801) 269-9427
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Millcreek Anesthesia PC (NPI 1306879820, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 08517 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1245238104) · Data from the CMS NPPES public registry.