NATHAN ROBERT PETERSON (M.D.) – Internal Medicine Physician, NPI 1194135350
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $100 |
| ABBVIE INC. | $21 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190927000488 | I | Internal Medicine | PA | TBD |
| I20211022002472 | I | Hematology/Oncology | 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 | 206 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 59 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 37 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 84003)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Physician Assistant | UT | |
| General Surgery | UT | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | UT | |
| Internal Medicine | UT | |
| Physical Medicine And Rehabilitation | UT | |
| O T O L A R Y N G O L O G Y | CO | |
| Family Practice | UT | |
| Physician Assistant | UT |
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