MATTHEW L PETERSON (MD) – Anesthesiology Physician, NPI 1013008077
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
565 ANESTHESIOLOGY in UT
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Provider Addresses for MATTHEW L PETERSON (MD)
1954, Fort Union Boulevard, Cottonwood Heights, Salt Lake County, Utah, 84121, United States
SALT LAKE CITY, UT 841216800
Phone: (801) 993-9530
Type: Mailing
St. Mark's Hospital, 1200, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
SALT LAKE CITY, UT 841241300
Phone: (801) 993-9530
Fax: (801) 733-5618
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-03-23 • Largest payer in this snapshot: Avanos Medical ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avanos Medical | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050421001320 | I | Anesthesiology | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00145 | Anesthesia for retinal surgery | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | KS | |
| - | UT | |
| A N E S T H E S I O L O G Y | KY | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | GA | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | NV | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| - | UT |
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