JONAS LEGRAND PETERSON (MD) – Family Medicine Physician, NPI 1114376431
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
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Provider Addresses for JONAS LEGRAND PETERSON (MD)
4403, Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States
SUITE A-700
OGDEN, UT 844033271
Phone: (801) 387-5300
Fax: (801) 387-5333
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Indivior Inc. ($82).
Total Amount
$322
General + Research + Ownership
Payments
14
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $82 |
| Braeburn Inc. | $72 |
| Janssen Pharmaceuticals, Inc | $70 |
| E.R. Squibb & Sons, L.L.C. | $60 |
| Neurocrine BioSciences, Inc. | $19 |
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: 2017-08-14
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 |
|---|---|---|---|---|
| I20170814003143 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 31 | $0 |
Insurance plans in this area (ZIP 84403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| - | UT | |
| Clinical Social Worker | UT | |
| - | UT | |
| Clinical Social Worker | UT | |
| - | UT | |
| - | UT | |
| Clinical Social Worker | UT |
Reviews
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