DR. MARK WILLIAM PETERSON DO
NPI 1326374562
Family Medicine - Sports Medicine in Park City, UT

Q: What is Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1326374562. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Q: What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 22, 2009PECOS EnrolledAccepts Medicare Assignment

2200 PARK AVE. BLDG. D STE. 100, PARK CITY, UT 84060(435) 615-8822(435) 615-8823 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Mark William Peterson Do NPPES

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

DR. MARK WILLIAM PETERSON DO (NPI 1326374562) is an individual sports medicine provider in Park City, Utah, licensed in Utah (8743560-1204) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2009).

NPPES Registry Identity

NPI1326374562

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. MARK WILLIAM PETERSONCredential: DO

Location Address2200 PARK AVE. BLDG. D STE. 100Park City, UT 84060

Mailing Address101 Sun Meadow DrCenterton, AR 72719-9610 · (479) 795-0426

Phone(435) 615-8822

Fax(435) 615-8823

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2009

Enumeration DateOctober 22, 2009

Last NPPES UpdateFebruary 18, 2020

✔ NPI 1326374562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in UT · 8743560-1204

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101018542 (MI), E7679 (AR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101018542 (MI)

2200 PARK AVE. BLDG. D STE. 100, Park City, UT 84060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Dr. Mark William Peterson Do 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 ID8325291024

PECOS Enrollment IDI20231113003429

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 Reassignment

Medicare enrollment records show Mark Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Mckennan

624 mi

Multi-Specialty

100 MAC LN
Pierre, SD 57501

Reassigned Medicare billing, South Dakota enrollment
1,277 clinicians in this Medicare group

NPI 1780829283 (605) 224-5901

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 13

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

504 services157 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

225 services133 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.

182 services129 patients

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.

137 services111 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

128 services55 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

88 services21 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.

49 services49 patients

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

41 services38 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

40 services37 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

38 services29 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

28 services25 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

22 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Citizens Medical Center

Critical Access Hospitals · Colby, KS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number171362

Location100 E College DriveColby, KS 67701 · Thomas County

Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Avera Dells Area Hospital - Cah

Critical Access Hospitals · Dell Rapids, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431331

Location909 N Iowa AveDell Rapids, SD 57022 · Minnehaha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84060 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY ELIZABETH MARSHALL PA

Physician Assistant

2200 PARK AVE. BLDG. D STE. 100
PARK CITY, UT 84060

Summit County (435) 615-8822

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 Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1326374562. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Where is Mark Peterson located?

Mark Peterson practices at 2200 Park Ave. Bldg. D Ste. 100, Park City, UT 84060. The listed phone number is (435) 615-8822.

What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Mark Peterson enrolled in Medicare?

Yes. Mark 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 organization bills Medicare for Mark Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Peterson reassigns Medicare benefits to Avera Mckennan (Pierre, SD). 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 Mark Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Mark 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 Mark Peterson affiliated with any hospitals?

According to CMS data, Mark Peterson is affiliated with Citizens Medical Center, Avera Mckennan Hospital & University Health Center and Avera Dells Area Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.