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PETER C AGY M.D.
NPI 1417059023
Hospitalist in Salt Lake City, UT

Active since September 03, 2006PECOS Enrolled
1160 E 3900 S, #G200, SALT LAKE CITY, UT 84124(801) 268-7766 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter C Agy M.d. NPPES

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

PETER C AGY M.D. (NPI 1417059023) is an individual hospitalist provider in Salt Lake City, Utah, licensed in Utah (166762-1205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417059023
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePETER C AGYCredential: M.D.
Location Address1160 E 3900 S, #G200Salt Lake City, UT 84124-1202
Mailing AddressPo Box 271220Salt Lake City, UT 84127-1220 · (801) 268-7860 · Fax (801) 270-3331
Phone(801) 268-7766
Sole ProprietorNo
Enumeration DateSeptember 3, 2006
Last NPPES UpdateSeptember 21, 2010
✔ NPI 1417059023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in UT · 166762-1205
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1667621205 (UT)
1160 E 3900 S, Salt Lake City, UT 84124
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified005745013UT
Medicare ID-Type Unspecified005780904UT
Medicare UPINE30727UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter C Agy 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Agy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Utah Regional Hospitalists LLC
3.6 mi
Hospitalist
5505 S 900 E STE 240
Murray, UT 84117
  • Reassigned Medicare billing, Utah enrollment
  • 271 clinicians in this Medicare group
NPI 1962821223 (844) 474-4019
Physician Group Of Utah Inc
9.5 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418

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 84124 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
$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.

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…
96%202 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 20

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

JAMES S ZEBRACK MD
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. KELLY RAMSAY O'NEAL III MD, MS
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, SUITE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. JEFFREY G RANDLE MD
Physical Medicine & Rehabilitation
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486
KENNETH G NIELSON MD
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. MINA GOHARI M.D.
Family Medicine
1160 E 3900 S, STE G200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7766
JAMES JOSEPH CHAMBERLAIN MD
Internal Medicine
1160 E 3900 S, SUITE 1200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 261-9651
PAWAN K SHARMA MD
Nuclear Medicine (Nuclear Cardiology)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
STEPHEN G ROPER PA
Physician Assistant
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486

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 Peter Agy's NPI number?

The NPI number for Peter Agy is 1417059023. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is Peter Agy located?

Peter Agy practices at 1160 E 3900 S #g200, Salt Lake City, UT 84124. The listed phone number is (801) 268-7766.

What is Peter Agy's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Peter Agy enrolled in Medicare?

Yes. Peter Agy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Agy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Agy reassigns Medicare benefits to 2 organizations: Utah Regional Hospitalists LLC (Murray, UT) and Physician Group Of Utah Inc (South Jordan, UT). 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 Peter Agy'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 Peter Agy was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.