DAVID L PETERSON P.A
NPI 1851521249
Physician Assistant in Provo, UT

Q: What is David Peterson's NPI number?

The NPI number for David Peterson is 1851521249. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Q: What is David Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Peterson was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 20, 2009PECOS EnrolledAccepts Medicare Assignment

1055 N 500 W STE 121, PROVO, UT 84604(801) 373-7350(801) 812-5401 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David L Peterson P.a NPPES

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

DAVID L PETERSON P.A (NPI 1851521249) is an individual physician assistant in Provo, Utah, licensed in Utah (7405325-1206) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1851521249

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDAVID L PETERSONCredential: P.A

Location Address1055 N 500 W STE 121Provo, UT 84604-3305

Mailing Address1055 N 500 WProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(801) 373-7350

Fax(801) 812-5401

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 20, 2009

Last NPPES UpdateSeptember 27, 2021

NPPES CertifiedSeptember 27, 2021

✔ NPI 1851521249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 7405325-1206

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.

1055 N 500 W STE 121, Provo, UT 84604

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Secondary Practice Locations 2

Location 13000 N Triumph Blvd Ste 100Lehi, UT 84043-4999 · Phone (801) 763-3885 · Fax (801) 763-3887

Location 23550 N University Ave, Ste 250Provo, UT 84604-6683 · Phone (801) 374-9625 · Fax (801) 374-9690

Accepted Insurance

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

David L Peterson P.a 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 ID9931255213

PECOS Enrollment IDI20090929000356

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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 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.

18 services16 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 9

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

ZACHARY DAVID GOLDEN PA

Physician Assistant