TRAVIS A PETERSON (DO) – Orthopaedic Hand Surgery Physician, NPI 1033326020
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
Provider Addresses for TRAVIS A PETERSON (DO)
61 W 13490 S Ste 100
Draper, UT 840207299
Phone: (801) 997-5770
Fax: (385) 446-6278
Type: Location
1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Location
990 MEDICAL DR STE G4
BRIGHAM CITY, UT 843023077
Phone: (435) 734-2151
Fax: (435) 723-3391
Type: Mailing
1055 N 500 W STE 207
PROVO, UT 846043305
Phone: (801) 375-4263
Fax: (801) 429-8085
Type: Location
61 W 13490 S STE 100
DRAPER, UT 840207299
Phone: (801) 997-5770
Fax: (385) 446-6278
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,325.
Total Amount is formed as General ($1,325) + Research ($0) + Ownership ($0) = $1,325.
Last reported payment date: 2024-03-02 • Largest payer in this snapshot: Sonex Health, Inc. ($1,325).
Total Amount
$1,325
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,325
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sonex Health, Inc. | $1,325 |
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: 2018-10-26
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 |
|---|---|---|---|---|
| I20181026001742 | I | Hand Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84020)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
Reviews
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