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EVERETT MARK PETERSEN M.D.
NPI 1508061177
Anesthesiology in Sandy, UT

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
79.72/100
CMS Quality Rating
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL, SANDY, UT 84094(801) 501-2600 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Everett Mark Petersen M.d. NPPES

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

EVERETT MARK PETERSEN M.D. (NPI 1508061177) is an individual anesthesiology provider in Sandy, Utah, licensed in Florida (TRN11004) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of University Of Utah School Of Medicine (2007).

NPPES Registry Identity

NPI1508061177
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameEVERETT MARK PETERSENCredential: M.D.
Location Address9660 SOUTH 1300 EAST, ALTA VIEW HOSPITALSandy, UT 84094
Mailing Address3340 North Center St, #800Lehi, UT 84043-7406 · (801) 990-1911
Phone(801) 501-2600
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2007
Enumeration DateJune 15, 2007
Last NPPES UpdateOctober 15, 2012
✔ NPI 1508061177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in FL · TRN11004✔ Licensed in UT · 370770-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
9660 SOUTH 1300 EAST, Sandy, UT 84094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Everett Mark Petersen 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 ID6002084993
PECOS Enrollment IDI20110720000299
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 2

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services17 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

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.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

Other Providers at the Same Location NPPES 7

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

DR. CLINTON LUND CHRISTENSEN M.D.
Anesthesiology
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL
SANDY, UT 84094
Salt Lake County (801) 501-2600
TODD S BLOOD MD
Anesthesiology
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL
SANDY, UT 84094
Salt Lake County (801) 501-2600
JAMES B YEE MD
Anesthesiology
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL
SANDY, UT 84094
Salt Lake County (801) 501-2600
LAURIE A NIEDEREE MD
Anesthesiology
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL
SANDY, UT 84094
Salt Lake County (801) 501-2600
DOUGLAS B MCALLISTER MD
Anesthesiology
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL
SANDY, UT 84094
Salt Lake County (801) 501-2600
BRIAN T WATERFALL MD
Anesthesiology
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL
SANDY, UT 84094
Salt Lake County (801) 501-2600
EDWARD LAWRENCE QUIEL MD
Anesthesiology
9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL
SANDY, UT 84094
Salt Lake County (801) 501-2600

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 Everett Petersen's NPI number?

The NPI number for Everett Petersen is 1508061177. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Everett Petersen located?

Everett Petersen practices at 9660 South 1300 East Alta View Hospital, Sandy, UT 84094. The listed phone number is (801) 501-2600.

What is Everett Petersen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Everett Petersen enrolled in Medicare?

Yes. Everett Petersen 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 Everett Petersen accept?

Health plans from Select Health list Everett Petersen 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 Everett Petersen affiliated with any hospitals?

According to CMS data, Everett Petersen is affiliated with Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Everett Petersen was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.