SEAN DARRELL PETERSON MD
NPI 1497142582
Family Medicine in West Valley City, UT

Q: What is Sean Peterson's NPI number?

The NPI number for Sean Peterson is 1497142582. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Q: What is Sean Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Peterson was last updated on April 18, 2024. 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.

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment

2965 W 3500 S, WEST VALLEY CITY, UT 84119(801) 965-3600 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2024, Apr 29, 2021, May 1, 2018 and 1 more (4 updates tracked since 2016).

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About Sean Darrell Peterson Md NPPES

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

SEAN DARRELL PETERSON MD (NPI 1497142582) is an individual family medicine provider in West Valley City, Utah, licensed in Utah (9853800-1205) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Draper, and is a graduate of University Of New Mexico School Of Medicine (2015).

NPPES Registry Identity

NPI1497142582

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSEAN DARRELL PETERSONCredential: MD

Location Address2965 W 3500 SWest Valley City, UT 84119-3602

Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600

Phone(801) 965-3600

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2015

Enumeration DateApril 16, 2015

Last NPPES UpdateApril 18, 20244 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1497142582 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 · 9853800-1205

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.

2965 W 3500 S, West Valley City, UT 84119

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Secondary Practice Location 1

Location 113953 S Bangerter PkwyDraper, UT 84020-5429 · Phone (385) 900-4090 · Fax (801) 365-1033

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Darrell Peterson Md 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 ID1951609544

PECOS Enrollment IDI20180601002320

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

Medicare enrollment records show Sean Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Granger Medical Clinic PC

Same address

Multi-Specialty

2965 W. 3500 S.
West Valley City, UT 84119

Reassigned Medicare billing, Utah enrollment
190 clinicians in this Medicare group

NPI 1184657041 (801) 965-3600

Granger Medical Specialists LLC

Same address

Clinic/Center

2965 W 3500 S
West Valley City, UT 84119

Reassigned Medicare billing, Utah enrollment
188 clinicians in this Medicare group

NPI 1376159368 (801) 965-3600

Utah Healthcare Institute Inc

7.6 mi

Family Medicine

1250 E 3900 S, SUITE 260
Salt Lake City, UT 84124

Reassigned Medicare billing, Utah enrollment
26 clinicians in this Medicare group

NPI 1376597344 (801) 265-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

98 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services63 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

69 services69 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

67 services67 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

20 services20 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84119 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.

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.

DR. CASEY JOSEPH HENICH MD

Family Medicine