CHASE B PETERSEN M.D.
NPI 1407144702
Obstetrics & Gynecology in Logan, UT
About Chase B Petersen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHASE B PETERSEN M.D. (NPI 1407144702) is an individual obstetrics & gynecology provider in Logan, Utah, licensed in Illinois (036.178096) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Vermont College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chase B Petersen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Chase Petersen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1609567338 (Utah)
- 1,729 clinicians in this Medicare group
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 478 clinicians in this Medicare group
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 391 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 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 84341 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.
LOGAN, UT 84341
LOGAN, UT 84341
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 Chase Petersen's NPI number?
The NPI number for Chase Petersen is 1407144702. It was assigned to this individual provider in the NPPES registry on July 20, 2011.
Where is Chase Petersen located?
Chase Petersen practices at 1400 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-1920.
What is Chase Petersen's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Chase Petersen enrolled in Medicare?
Yes. Chase Petersen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Chase Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chase Petersen reassigns Medicare benefits to 4 organizations: Ihc Health Services, Inc (Logan, UT), Freeport Memorial Hospital (Freeport, IL), Freeport Regional Health Care Foundation (Freeport, IL) and Rockford Health Physicians (Rockford, IL). 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 Chase Petersen'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 Chase Petersen was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Chase B Petersen, M.D. · NPI 1407144702
Obstetrics & Gynecology physician in Logan, Utah. Individual provider, active in the CMS NPPES registry since July 20, 2011.
## Identity
- **NPI:** 1407144702 (Entity type: Individual)
- **Enumerated:** July 20, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 036.178096 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 N 500 E, Logan, UT 84341
- **Phone:** (435) 716-1920
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services, Inc (NPI 1902936503, Logan, UT); Freeport Memorial Hospital (NPI 1447228788, Freeport, IL); Freeport Regional Health Care Foundation (NPI 1457337016, Freeport, IL); Rockford Health Physicians (NPI 1023275278, Rockford, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** June 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407144702) · Data from the CMS NPPES public registry.