RYAN THOMAS PETERSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1245486307
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RYAN THOMAS PETERSON (DPM)
205, North Falcon Bluff, Rivermont, Alpharetta, Fulton, Georgia, 30022, United States
ST GEORGE, UT 847703568
Phone: (435) 628-5690
Fax: (435) 628-5805
Type: Mailing
9980 S 300 W
STE 300
ST GEORGE, UT 84790
Phone: (801) 273-0001
Fax: (385) 900-5928
Type: Mailing
2019 E RIVERSIDE DR STE A101
ST GEORGE, UT 847908147
Phone: (801) 253-6888
Fax: (385) 900-5928
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Averitas Pharma Inc. ($35).
Total Amount
$135
General + Research + Ownership
Payments
6
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $35 |
| Acera Surgical, Inc. | $28 |
| MIMEDX Group, Inc. | $27 |
| Boston Scientific Corporation | $17 |
| ABBVIE INC. | $14 |
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: 2011-08-22
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 |
|---|---|---|---|---|
| I20110822000119 | I | Podiatry | NV | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 34 | 11 | $0 |
Insurance plans in this area (ZIP 84770)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA |
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