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ANTHONY MICHAEL PETERSEN M.D.
NPI 1336407790
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
6550 S MILLROCK DR STE 250, SALT LAKE CITY, UT 84121(801) 821-2781(801) 901-1194 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, Nov 20, 2020, Dec 30, 2016 (3 updates tracked since 2016).

About Anthony Michael Petersen M.d. NPPES

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

ANTHONY MICHAEL PETERSEN M.D. (NPI 1336407790) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (8797789-1205) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Lakeview Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1336407790
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameANTHONY MICHAEL PETERSENCredential: M.D.
Location Address6550 S MILLROCK DR STE 250Salt Lake City, UT 84121-2331
Mailing Address6550 S Millrock Dr Ste 250Salt Lake City, UT 84121-2331 · (801) 821-2613
Phone(801) 821-2781
Fax(801) 901-1194
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2012
Enumeration DateApril 24, 2012
Last NPPES UpdateFebruary 26, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1336407790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in UT · 8797789-1205✔ Licensed in PA · MD457218
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6550 S MILLROCK DR STE 250, Salt Lake City, UT 84121
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1630 Medical DrBountiful, UT 84010-4908 · Phone (801) 299-3781 · Fax (801) 299-2416
Location 2145 W 200 N Ste 600Provo, UT 84601-3016 · Phone (801) 821-2781 · Fax (801) 901-1194
Location 33300 N Triumph Blvd Ste 500Lehi, UT 84043-6475 · Phone (801) 821-2781 · Fax (801) 901-1194
Location 42132 N Robins Dr Ste 300Layton, UT 84041-7077 · Phone (801) 821-2781 · Fax (801) 901-1194

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Michael Petersen 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 ID7214160761
PECOS Enrollment IDI20160902001726
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.

Areas of Expertise CMS Part B claims 2

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.

Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
167 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services23 patients

Hospital Affiliations CMS Care Compare

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

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%58 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

BRENDA GALVEZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
6550 S MILLROCK DR STE 250
SALT LAKE CITY, UT 84121
Salt Lake County (801) 821-2781
JOSEPH ANDREW REISTETTER MD
Psychiatry & Neurology (Psychiatry)
6550 S MILLROCK DR STE 250
SALT LAKE CITY, UT 84121
Salt Lake County (801) 821-2333
HAYDEN HALE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
6550 S MILLROCK DR STE 250
SALT LAKE CITY, UT 84121
Salt Lake County (801) 821-2781
ELIZABETH ZEKER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
6550 S MILLROCK DR STE 250
SALT LAKE CITY, UT 84121
Salt Lake County (801) 821-2781

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 Anthony Petersen's NPI number?

The NPI number for Anthony Petersen is 1336407790. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Anthony Petersen located?

Anthony Petersen practices at 6550 S Millrock Dr Ste 250, Salt Lake City, UT 84121. The listed phone number is (801) 821-2781.

What is Anthony Petersen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Anthony Petersen enrolled in Medicare?

Yes. Anthony 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.

What insurance does Anthony Petersen accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Anthony Petersen 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 Anthony Petersen affiliated with any hospitals?

According to CMS data, Anthony Petersen is affiliated with Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Petersen was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.