PEGGY B PETERSEN – Anesthesiology Physician, NPI 1245238104
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 PEGGY B PETERSEN
3838, 700 East, South Salt Lake, Salt Lake County, Utah, 84106, United States
STE 200
SALT LAKE CITY, UT 841061466
Phone: (801) 261-4988
Fax: (801) 269-9427
Type: Location
PO BOX 27688
SALT LAKE CITY, UT 841270688
Phone: (801) 534-1360
Fax: (801) 366-9883
Type: Mailing
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 $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($85).
Total Amount
$85
General + Research + Ownership
Payments
1
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $85 |
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: 2005-04-26
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 |
|---|---|---|---|---|
| I20050426001025 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84106)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | 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 |
Reviews
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