DEREK PETERSEN (PA-C) – Physician Assistant, NPI 1104365113
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEREK PETERSEN (PA-C)
5285 S 400 E Ste A
Washington Terrace, UT 844057194
Phone: (801) 334-0048
Fax: (833) 428-8406
Type: Location
2240, Adams Avenue, 25th Street, Ogden, Weber County, Utah, 84401, United States
OGDEN, UT 844011511
Phone: (801) 393-5355
Fax: (801) 394-4609
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: SOBI, INC ($17).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $17 |
| Verrica Pharmaceuticals Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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)
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84405)
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Reviews
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