DR. JONATHAN RICHARD PETERSON M.D.
NPI 1457705386
Orthopaedic Surgery in Salt Lake City, UT

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
24 S 1100 E STE 101, SALT LAKE CITY, UT 84102(801) 355-6468(801) 355-3450 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2022, Apr 10, 2019 (2 updates tracked since 2019).

About Dr. Jonathan Richard Peterson M.d. NPPES

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

DR. JONATHAN RICHARD PETERSON M.D. (NPI 1457705386) is an individual orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (6547620-1205) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Riverton Hospital, and is a graduate of University Of Michigan Medical School (2016).

NPPES Registry Identity

NPI1457705386
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JONATHAN RICHARD PETERSONCredential: M.D.
Location Address24 S 1100 E STE 101Salt Lake City, UT 84102-1562
Mailing Address24 S 1100 E Ste 101Salt Lake City, UT 84102-1562 · (801) 355-6468 · Fax (801) 355-3450
Fax(801) 355-3450
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
NPI 1457705386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in UT · 6547620-1205 Licensed in NC · 2019-00197
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
24 S 1100 E STE 101, Salt Lake City, UT 84102

Accepted 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

Dr. Jonathan Richard Peterson 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 ID2769775444
PECOS Enrollment IDI20221111000332
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 14

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.
89 services64 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
59 services43 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
46 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
37 services29 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
25 services20 patients

Hospital Affiliations CMS Care Compare

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

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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
$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 3

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

Physician Assistant
24 S 1100 E STE 101
SALT LAKE CITY, UT 84102
Orthopaedic Surgery
24 S 1100 E STE 101
SALT LAKE CITY, UT 84102
Orthopaedic Surgery
24 S 1100 E STE 101
SALT LAKE CITY, UT 84102

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 Jonathan Peterson's NPI number?

The NPI number for Jonathan Peterson is 1457705386. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Jonathan Peterson located?

Jonathan Peterson practices at 24 S 1100 E Ste 101, Salt Lake City, UT 84102. The listed phone number is (801) 355-6468.

What is Jonathan Peterson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jonathan Peterson enrolled in Medicare?

Yes. Jonathan Peterson 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 Jonathan Peterson accept?

Health plans from Select Health list Jonathan Peterson 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 Jonathan Peterson affiliated with any hospitals?

According to CMS data, Jonathan Peterson is affiliated with Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Peterson was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.