DR. SCOTT DAVID PETERSON (M.D.) – Family Medicine Physician, NPI 1427008812
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,137 FAMILY PRACTICE in UT
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Provider Addresses for DR. SCOTT DAVID PETERSON (M.D.)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
575, South State Street, Snow, Orem, Utah County, Utah, 84058, United States
OREM, UT 840586303
Phone: (801) 225-2926
Fax: (801) 229-2420
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $2,043.
Total Amount is formed as General ($2,043) + Research ($0) + Ownership ($0) = $2,043.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($422).
Total Amount
$2,043
General + Research + Ownership
Payments
118
Total payment records
General Amount
$2,043
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $422 |
| ABBVIE INC. | $214 |
| Lilly USA, LLC | $209 |
| AstraZeneca Pharmaceuticals LP | $189 |
| Novo Nordisk Inc | $114 |
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: 2010-01-19
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 |
|---|---|---|---|---|
| I20100119000608 | I | Family Practice | 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 | 371 | 182 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 185 | 115 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 170 | 93 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 136 | 125 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 116 | 116 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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