CELESTE KNIGHT PETERSON (MD) – Internal Medicine Physician, NPI 1912406919
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
903 INTERNAL MEDICINE in UT
Provider Addresses for CELESTE KNIGHT PETERSON (MD)
5630 S WATERBURY WAY STE B102
SALT LAKE CITY, UT 841216209
Phone: (801) 274-2000
Fax: (801) 274-2020
Type: Mailing
1160 E 3900 S STE 1200
SALT LAKE CITY, UT 841241251
Phone: (801) 365-0909
Fax: (801) 261-9656
Type: Location
North Orange Street, Northside, Missoula, Missoula County, Montana, 5902, United States
MISSOULA, MT 598022951
Phone: (406) 329-2954
Fax: (406) 327-3101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $958.
Total Amount is formed as General ($958) + Research ($0) + Ownership ($0) = $958.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($137).
Total Amount
$958
General + Research + Ownership
Payments
54
Total payment records
General Amount
$958
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $137 |
| Amgen Inc. | $104 |
| GlaxoSmithKline, LLC. | $103 |
| Lilly USA, LLC | $71 |
| Novartis Pharmaceuticals Corporation | $52 |
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: 2021-11-02
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 |
|---|---|---|---|---|
| I20211102001688 | I | Internal Medicine | 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 | 79 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 37 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | IL | |
| Internal Medicine | UT | |
| Internal Medicine | UT | |
| Internal Medicine, Infectious Disease | UT | |
| Internal Medicine | UT | |
| Infectious Disease, Internal Medicine | UT | |
| Internal Medicine | UT | |
| Internal Medicine | UT | |
| - | UT | |
| Nurse Practitioner | UT |
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