NATHAN ROBERT PETERSON (M.D.) – Internal Medicine Physician, NPI 1194135350

NATHAN ROBERT PETERSON (M.D.) is a healthcare provider. based in American fork, Utah. specializing in MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 12407595-1205 (UT). The NPI Number for NATHAN ROBERT PETERSON (M.D.) is 1194135350

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN ROBERT PETERSON (M.D.)
NPI
1194135350
Phone
(801) 855-3300
Address
170 N 1100 E
Enumeration Date
28 April 2014
Last Update Date
29 March 2024

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4357224691
Graduation Year
2014 (12 years ago)
PAC ID
8224321518
Group Practice PAC ID
2961496609
Professional Enrollment ID
I20211022002472
Address ID
UT840662336RO210XX300X300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

58 MEDICAL ONCOLOGY in UT

Provider Addresses for NATHAN ROBERT PETERSON (M.D.)

  • 170 N 1100 E

    American Fork, UT 840032096

    Phone: (801) 855-3300

    Type: Location

  • 100 E LANCASTER AVE

    WYNNEWOOD, PA 190963450

    Phone: (484) 476-6421

    Fax: (484) 476-3149

    Type: Mailing

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 357-7575

    Type: Mailing

  • 1034 N 500 W

    PROVO, UT 846043380

    Phone: (801) 357-7575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($100).

Total Amount

$121

General + Research + Ownership

Payments

2

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190927000488IInternal MedicinePATBD
I20211022002472IHematology/OncologyUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes20663$0
99213Established patient office or other outpatient visit, 20-29 minutes9359$0
99215Established patient office or other outpatient visit, 40-54 minutes3720$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961496609View full group profile
NameSpecialtyState
-UT
Physician AssistantUT
General SurgeryUT
H E M A T O L O G Y/ O N C O L O G YGA
-UT
Internal MedicineUT
Physical Medicine And RehabilitationUT
O T O L A R Y N G O L O G YCO
Family PracticeUT
Physician AssistantUT

Reviews

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Frequently asked questions

How is NATHAN ROBERT PETERSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists NATHAN ROBERT PETERSON (M.D.) with NPI 1194135350.
Can I rely on NATHAN ROBERT PETERSON (M.D.) being an active provider?
As of the registry snapshot, NATHAN ROBERT PETERSON (M.D.) is marked active.
What is NATHAN ROBERT PETERSON (M.D.) best known for clinically?
Directory data describes NATHAN ROBERT PETERSON (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does NATHAN ROBERT PETERSON (M.D.) serve?
NATHAN ROBERT PETERSON (M.D.)'s listing highlights American Fork, Utah; more addresses can appear in NPPES.
Is the information about NATHAN ROBERT PETERSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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