LEE M PETERSON (MD) – Surgery Physician, NPI 1316987613

LEE M PETERSON (MD) is a healthcare provider. based in Provo, Utah. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 1766331205 (UT). The NPI Number for LEE M PETERSON (MD) is 1316987613

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
LEE M PETERSON (MD)
NPI
1316987613
Phone
(801) 374-9625
Address
3550 N UNIVERSITY AVE
Enumeration Date
7 June 2006
Last Update Date
10 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8013749625
Graduation Year
1982 (44 years ago)
PAC ID
6507992591
Group Practice PAC ID
4486686698
Professional Enrollment ID
I20100329001189
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LEE M PETERSON (MD)

  • 3550, North University Avenue, Riverside, Edgemont, Provo, Utah County, Utah, 84604, United States

    SUITE 250

    PROVO, UT 84604

    Phone: (801) 374-9625

    Fax: (801) 374-9690

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84604)

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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: 4486686698View full group profile

Reviews

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Frequently asked questions

What is the registry number for LEE M PETERSON (MD)?
The registry entry for LEE M PETERSON (MD) shows NPI 1316987613.
Is LEE M PETERSON (MD) currently accepting referrals based on NPI status?
Registry metadata lists LEE M PETERSON (MD) as active.
What type of care does LEE M PETERSON (MD) provide?
LEE M PETERSON (MD)'s profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
Is LEE M PETERSON (MD) tied to Provo, Utah?
If you are local to Provo, Utah, LEE M PETERSON (MD) may be relevant to your search.
Who maintains LEE M PETERSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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