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CHASE B PETERSEN M.D.
NPI 1407144702
Obstetrics & Gynecology in Logan, UT

Active since July 20, 2011PECOS Enrolled

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 2, 2026, May 20, 2019 (2 updates tracked since 2019).

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

NPI1407144702
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCHASE B PETERSENCredential: M.D.
Location Address1400 N 500 ELogan, UT 84341
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(435) 716-1920
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2011
Enumeration DateJuly 20, 2011
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1407144702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036.178096
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1400 N 500 E, Logan, UT 84341
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000 · Fax (815) 599-7974
Location 28201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000
Location 3Uw Hospital and Clinics, 600 Highland Ave, H4/831Madison, WI 53792-0001 · Phone (608) 263-1228

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chase B Petersen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507099637
PECOS Enrollment IDI20260128002492
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.

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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

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.

SHAUN P DAHLE PT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-6440
BRANDON DAVID GREENWOOD PT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1000
IHC HEALTH SERVICES INC
Obstetrics & Gynecology
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 752-0422
IHC HEALTH SERVICES INC
Preventive Medicine (Undersea and Hyperbaric Medicine)
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-2250
LOGAN RADIOLOGY GROUP LLC
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Cache County (281) 980-1430
PARKER EUGENE LUDWIG MD
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Cache County (800) 399-6438
NORTHERN UTAH PATHOLOGY PC
Pathology (Anatomic Pathology & Clinical Pathology)
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-5375
SARAH C SIEVERS DPT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 755-3360

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.

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 2 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.