GREGORY G PETERSEN (MD) – Anesthesiology Physician, NPI 1285687012
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
565 ANESTHESIOLOGY in UT
Provider Addresses for GREGORY G PETERSEN (MD)
8TH AVENUE AND C STREET
LDS HOSPITAL
SALT LAKE CITY, UT 84143
Phone: (801) 507-5248
Type: Location
3340, North Center Street, Lehi, Utah County, Utah, 84043, United States
#800
LEHI, UT 840437406
Phone: (801) 990-1911
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-10-14
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 |
|---|---|---|---|---|
| I20061014000052 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 18 | 18 | $0 |
| 01638 | Anesthesia for open or endoscopic total shoulder joint replacement | 13 | 13 | $0 |
Insurance plans in this area (ZIP 84143)
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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 | UT | |
| 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 | OR | |
| A N E S T H E S I O L O G Y | UT | |
| - | UT | |
| - | UT | |
| 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 | UT | |
| A N E S T H E S I O L O G Y | UT |
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