CHARLES MATTHEW PETERSON MD
NPI 1316037930
Obstetrics & Gynecology - Reproductive Endocrinology in Salt Lake City, UT
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles Matthew Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Charles Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 163 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.
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.
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.
SLC, UT 84132
SALT LAKE CITY, UT 84132
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.
Which organizations bill Medicare for Charles Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Peterson reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and University Of Utah Specialty Services (Salt Lake City, 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 Charles Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Charles Matthew Peterson, MD · NPI 1316037930
Reproductive Endocrinology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1316037930 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Obstetrics & Gynecology - Reproductive Endocrinology · taxonomy 207VE0102X
- **State license:** 172719-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N 1900 E, SUITE 2B200, Salt Lake City, UT 84132-0002
- **Phone:** (801) 587-3834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1093119893, Salt Lake City, UT); University Of Utah Specialty Services (NPI 1043614811, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316037930) · Data from the CMS NPPES public registry.