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DR. DAVID B PETERSEN MD
NPI 1851482202
Ophthalmology in Salt Lake City, UT

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
93.95/100
CMS Quality Rating
4400 SO 700 E, 100, SALT LAKE CITY, UT 84107(801) 264-4450(801) 264-4409 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David B Petersen Md NPPES

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

DR. DAVID B PETERSEN MD (NPI 1851482202) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (52616771205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Washington University School Of Medicine (1998).

NPPES Registry Identity

NPI1851482202
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DAVID B PETERSENCredential: MD
Location Address4400 SO 700 E, 100Salt Lake City, UT 84107
Mailing Address4400 South 700 E, 100Salt Lake City, UT 84107 · (801) 264-4450 · Fax (801) 264-4409
Phone(801) 264-4450
Fax(801) 264-4409
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1998
Enumeration DateSeptember 28, 2006
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1851482202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in UT · 52616771205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4400 SO 700 E, Salt Lake City, UT 84107
Open in Google Maps ↗

Other Identifiers 1

Medicaid870544230002UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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. David B Petersen 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 ID7012926454
PECOS Enrollment IDI20101027000033
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 7

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
105 services82 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
46 services41 patients
Placement of adjustable sutures during eye muscle surgery 67335
Adjustable sutures in eye muscle surgery allow surgeons to fine-tune eye alignment post-surgery. After the initial operation, while the patient is awake, the sutures are adjusted for optimal alignment. This helps improve the precision of the procedure.
22 services22 patients
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.
14 services14 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
13 services13 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
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 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
$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
$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.

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.

93.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.9
Improvement Activities40

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 David Petersen's NPI number?

The NPI number for David Petersen is 1851482202. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is David Petersen located?

David Petersen practices at 4400 So 700 E 100, Salt Lake City, UT 84107. The listed phone number is (801) 264-4450.

What is David Petersen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Petersen enrolled in Medicare?

Yes. David 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 David Petersen accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list David 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 David Petersen affiliated with any hospitals?

According to CMS data, David Petersen is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for David Petersen was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.