CHARLES MATTHEW PETERSON MD
NPI 1316037930
Obstetrics & Gynecology - Reproductive Endocrinology in Salt Lake City, UT

Active since October 13, 2006PECOS Enrolled
30 N 1900 E, SUITE 2B200, SALT LAKE CITY, UT 84132(801) 587-3834 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Sep 7, 2021 (2 updates tracked since 2021).

About Charles Matthew Peterson Md NPPES

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

CHARLES MATTHEW PETERSON MD (NPI 1316037930) is an individual reproductive endocrinology provider in Salt Lake City, Utah, licensed in Utah (172719-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316037930
Entity TypeIndividualMale
Primary Taxonomy207VE0102X
Provider Legal NameCHARLES MATTHEW PETERSONCredential: MD
Location Address30 N 1900 E, SUITE 2B200Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E, Suite 2b200Salt Lake City, UT 84132-0002 · (801) 587-3834
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1316037930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License Licensed in UT · 172719-1205
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
30 N 1900 E, Salt Lake City, UT 84132

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charles Matthew Peterson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

Anesthesiology
30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132
Anesthesiology
30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132
Physician Assistant (Medical)
30 N 1900 E
SALT LAKE CITY, UT 84132
Psychiatry & Neurology (Psychiatry)
30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132
Urology
30 N 1900 E, RM 3B420
SALT LAKE CITY, UT 84132
Psychologist (Clinical)
30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132
Nurse Practitioner (Obstetrics & Gynecology)
30 N 1900 E
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132

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 Charles Peterson's NPI number?

The NPI number for Charles Peterson is 1316037930. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Charles Peterson located?

Charles Peterson practices at 30 N 1900 E Suite 2b200, Salt Lake City, UT 84132. The listed phone number is (801) 587-3834.

What is Charles Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Charles Peterson enrolled in Medicare?

Yes. Charles Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Charles Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Charles 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.

When was this NPI record last updated?

The NPPES record for Charles Peterson was last updated on December 1, 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.