DR. DAVID B PETERSEN MD
NPI 1851482202
Ophthalmology in Salt Lake City, UT
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
Specialties & Licenses
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show David Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 9 clinicians in this Medicare group
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 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.
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, UTPhysician 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.
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.
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.
Which organization bills Medicare for David Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Petersen reassigns Medicare benefits to Rocky Mtn Eye Care Associates Lc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Dr. David B Petersen, MD · NPI 1851482202
Ophthalmology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1851482202 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 52616771205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 SO 700 E, 100, Salt Lake City, UT 84107
- **Phone:** (801) 264-4450 · **Fax:** (801) 264-4409
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rocky Mtn Eye Care Associates Lc (NPI 1538163936, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** October 7, 2024
- **Other identifiers:** Medicaid 870544230002 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1851482202) · Data from the CMS NPPES public registry.