DR. CHAD PETERSON (D.O.) – MOHS-Micrographic Surgery Physician, NPI 1821299751
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
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Provider Addresses for DR. CHAD PETERSON (D.O.)
East 800 North, Spanish Fork, Utah County, Utah, 84660, United States
SPANISH FORK, UT 846601209
Phone: (801) 794-1490
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)
CMS reports 83 Open Payments records for all available years, with a total value of $1,679.
Total Amount is formed as General ($1,679) + Research ($0) + Ownership ($0) = $1,679.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($231).
Total Amount
$1,679
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,679
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $231 |
| Dermavant Sciences, Inc. | $160 |
| PFIZER INC. | $159 |
| Sun Pharmaceutical Industries Inc. | $128 |
| UCB, Inc. | $119 |
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: 2008-12-02
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 |
|---|---|---|---|---|
| I20081202000836 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,027 | 188 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 484 | 348 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 323 | 20 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 322 | 18 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 313 | 263 | $0 |
Insurance plans in this area (ZIP 84660)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
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