DR. PETER BLAINE HATHAWAY (M.D.) – Vascular & Interventional Radiology Physician, NPI 1730187824
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
345 DIAGNOSTIC RADIOLOGY in UT
Provider Addresses for DR. PETER BLAINE HATHAWAY (M.D.)
1433 N 1075 W STE 104
FARMINGTON, UT 840252746
Phone: (801) 298-1300
Type: Location
PO BOX 25488
SALT LAKE CITY, UT 841250488
Phone: (800) 475-3698
Fax: (801) 296-6199
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $30,604.
Total Amount is formed as General ($30,604) + Research ($0) + Ownership ($0) = $30,604.
Last reported payment date: 2024-12-25 • Largest payer in this snapshot: Merit Medical Systems Inc ($29,331).
Total Amount
$30,604
General + Research + Ownership
Payments
57
Total payment records
General Amount
$30,604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merit Medical Systems Inc | $29,331 |
| Penumbra, Inc. | $370 |
| Nevro Corp. | $366 |
| Inari Medical, Inc. | $203 |
| Medtronic, Inc. | $126 |
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: 2004-02-28
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 |
|---|---|---|---|---|
| I20040228000572 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,711 | 30 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 137 | 120 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 121 | 100 | $0 |
| 71045 | X-ray of chest, 1 view | 60 | 60 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 46 | 44 | $0 |
Insurance plans in this area (ZIP 84025)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | UT | 74177 | CT scan of abdomen and pelvis with contrast | 118 | 116 |
| DIAGNOSTIC RADIOLOGY | UT | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 23 | 23 |
| DIAGNOSTIC RADIOLOGY | UT | 93922 | Ultrasound study of arteries of both arms and legs | 44 | 43 |
| DIAGNOSTIC RADIOLOGY | UT | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | MI | |
| Interventional Radiology, Diagnostic Radiology | UT | |
| Diagnostic Radiology | TX |
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