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DALLIN PETERSON
NPI 1801564448
Physician Assistant in Murray, UT

Active since August 30, 2021PECOS EnrolledAccepts Medicare Assignment
5169 S COTTONWOOD ST STE 640, MURRAY, UT 84107(801) 507-3600 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dallin Peterson NPPES

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

DALLIN PETERSON (NPI 1801564448) is an individual physician assistant in Murray, Utah, licensed in Utah (14172614-1206) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801564448
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDALLIN PETERSON
Location Address5169 S COTTONWOOD ST STE 640Murray, UT 84107-6771
Mailing Address11201 Benton StLoma Linda, CA 92357-1000
Phone(801) 507-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2021
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1801564448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in UT · 14172614-1206✔ Licensed in CA · PA61843
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5169 S COTTONWOOD ST STE 640, Murray, UT 84107
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14311 11th Ave NE Ste 200Seattle, WA 98105-6367 · Phone (206) 616-4001
Location 211201 Benton StLoma Linda, CA 92357-1000 · Phone (909) 825-7084

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

Dallin Peterson 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 ID5597291278
PECOS Enrollment IDI20241204002937
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.

Hospital Affiliations CMS Care Compare

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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 6

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

IHC HEALTH SERVICES INC
Surgery
5169 S COTTONWOOD ST STE 640
MURRAY, UT 84107
Salt Lake County (801) 507-3600
JENNY LOU ELDREDGE
Physician Assistant (Surgical)
5169 S COTTONWOOD ST STE 640
MURRAY, UT 84107
Salt Lake County (801) 507-3730
BROOKE JAMES RDN
Dietitian, Registered
5169 S COTTONWOOD ST STE 640
MURRAY, UT 84107
Salt Lake County (801) 507-3600
DR. GREGORY ANTHONY GRANDIO M.D.
Internal Medicine (Pulmonary Disease)
5169 S COTTONWOOD ST STE 640
MURRAY, UT 84107
Salt Lake County (801) 507-3600
AUSTIN FRIDRICH PA-C
Physician Assistant (Surgical)
5169 S COTTONWOOD ST STE 640
MURRAY, UT 84107
Salt Lake County (801) 507-3600
DEVIN DAVIS
Physician Assistant
5169 S COTTONWOOD ST STE 640
MURRAY, UT 84107
Salt Lake County (801) 507-3600

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 Dallin Peterson's NPI number?

The NPI number for Dallin Peterson is 1801564448. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Dallin Peterson located?

Dallin Peterson practices at 5169 S Cottonwood St Ste 640, Murray, UT 84107. The listed phone number is (801) 507-3600.

What is Dallin Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dallin Peterson enrolled in Medicare?

Yes. Dallin 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 Dallin Peterson accept?

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

According to CMS data, Dallin Peterson is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Dallin Peterson was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.