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RUSSELL S PETERSEN MD
NPI 1972615474
Anesthesiology in Murray, UT

Active since August 31, 2006PECOS Enrolled
79.72/100
CMS Quality Rating
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER, MURRAY, UT 84157(801) 507-5248(801) 733-5618 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Russell S Petersen Md NPPES

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

RUSSELL S PETERSEN MD (NPI 1972615474) is an individual anesthesiology provider in Murray, Utah, licensed in Utah (91-184977-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972615474
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameRUSSELL S PETERSENCredential: MD
Location Address5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTERMurray, UT 84157
Mailing Address3340 North Center St #800Lehi, UT 84043-7406 · (801) 990-1911 · Fax (801) 990-1912
Phone(801) 507-5248
Fax(801) 733-5618
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 15, 2012
✔ NPI 1972615474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 91-184977-1205
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.
5121 S COTTONWOOD STREET, Murray, UT 84157
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Other Identifiers 17

Other870545614PE1UT · Educators Mutual
OtherQM0000075886UT · Altius
Medicare ID-Type Unspecified050049923UT · Railroad Medicare
Other73574UT · Pehp
OtherPRA04891UT · Molina
Medicare UPINF75612UT
Medicare ID-Type Unspecified005532762UT
Medicaid840935AZ
Other1502954UT · Umwa
Other2090168UT · United Healthcare
Other107006198101UT · Ihc
Other538587317UT · Mailhandlers
Medicaid002086882NV
Medicaid112774800WY
Other53263UT · Healthy U
Other756601UT · Deseret Mutual
Medicaid804075500ID

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 (PECOS)

Russell S Petersen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 20

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

JUSTIN M ADEN MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
ETHAN K FISHER MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. JAYAPRAKASH MOODALAGIRIAPPA MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT NATHAN HURST M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. BRIAN PAUL MATTHEWS M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT LYLES PROVOST MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. KEVIN MICHAEL CUMMISFORD M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
RYAN WILLIAM NELSON MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248

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 Russell Petersen's NPI number?

The NPI number for Russell Petersen is 1972615474. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Russell Petersen located?

Russell Petersen practices at 5121 S Cottonwood Street Intermountain Medical Center, Murray, UT 84157. The listed phone number is (801) 507-5248.

What is Russell Petersen's specialty?

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

Is Russell Petersen enrolled in Medicare?

Yes. Russell Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Russell Petersen accept?

Health plans from Select Health list Russell 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.

When was this NPI record last updated?

The NPPES record for Russell 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.