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DARLENE L PETERSEN M.D.
NPI 1376744433
Family Medicine in Roy, UT

Active since May 29, 2007PECOS Enrolled
5640 S 3500 W, ROY, UT 84067(801) 773-2838(801) 773-3025 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Mar 17, 2020, Nov 20, 2018 (3 updates tracked since 2018).

About Darlene L Petersen M.d. NPPES

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

DARLENE L PETERSEN M.D. (NPI 1376744433) is an individual family medicine provider in Roy, Utah, licensed in Utah (292621-1205) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376744433
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDARLENE L PETERSENCredential: M.D.
Location Address5640 S 3500 WRoy, UT 84067-9158
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 773-2838
Fax(801) 773-3025
Sole ProprietorNo
Enumeration DateMay 29, 2007
Last NPPES UpdateNovember 15, 20233 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1376744433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 292621-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5640 S 3500 W, Roy, UT 84067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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)

Darlene L Petersen M.d. 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.

Areas of Expertise CMS Part B claims 7

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.

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.
76 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services24 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
24 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services22 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
16 services15 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84067 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims64 services$6.69 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$75.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

JERRICA ELIZABETH STODDARD FNP
Nurse Practitioner (Family)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
JEFFERY W ANDERSON PA
Physician Assistant (Medical)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
DR. BRINTON S WOODS D.O.
Family Medicine
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MR. MICHEAL SHAWN DAWSON PA-C
Physician Assistant
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MR. LUCIUS NMN GORDON JR. PA-C
Physician Assistant
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
CURTIS SHEPHERD LCSW
Social Worker (Clinical)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MRS. JONI MICHELLE JONES FNP
Nurse Practitioner (Family)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
GARY EARL BRUNDAGE
Social Worker (Clinical)
5640 S 3500 W
ROY, UT 84067
Weber County (017) 732-8388

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 Darlene Petersen's NPI number?

The NPI number for Darlene Petersen is 1376744433. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Darlene Petersen located?

Darlene Petersen practices at 5640 S 3500 W, Roy, UT 84067. The listed phone number is (801) 773-2838.

What is Darlene Petersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Darlene Petersen enrolled in Medicare?

Yes. Darlene Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Darlene Petersen accept?

Health plans from University of Utah Health Plans list Darlene 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.

When was this NPI record last updated?

The NPPES record for Darlene Petersen was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.