ANDREW D PETERSEN (DO) – Family Medicine Physician, NPI 1124011572

ANDREW D PETERSEN (DO) is a healthcare provider. based in Provo, Utah. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. M4441 (TX). The NPI Number for ANDREW D PETERSEN (DO) is 1124011572

Main info

Male
Name
ANDREW D PETERSEN (DO)
NPI
1124011572
Phone
(801) 607-5268
Address
524 W 300 N STE 203
Enumeration Date
31 August 2005
Last Update Date
21 May 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for ANDREW D PETERSEN (DO)

  • 203, West 300 North, Timp, Provo, Utah County, Utah, 84601, United States

    PROVO, UT 846012669

    Phone: (801) 607-5268

    Fax: (801) 607-5271

    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 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Lilly USA, LLC ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$30
View all Open Payments →|Open Payments Risk Radar →

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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84601)

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Reviews

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Frequently asked questions

Where can patients find ANDREW D PETERSEN (DO)'s NPI?
You can confirm ANDREW D PETERSEN (DO) with NPI 1124011572; it appears in the national provider directory.
Is ANDREW D PETERSEN (DO)'s NPI currently valid?
The extract we use shows ANDREW D PETERSEN (DO) as active.
What kind of provider is ANDREW D PETERSEN (DO)?
The page reflects Family Medicine Physician for ANDREW D PETERSEN (DO). Clinical services aligned with this taxonomy classification.
Where does public data place ANDREW D PETERSEN (DO)?
The snapshot lists Provo, Utah for ANDREW D PETERSEN (DO); download NPPES for the complete set.
Is ANDREW D PETERSEN (DO) a real provider?
This page reflects official NPPES data for NPI 1124011572. Always confirm identity and privileges with the practice and licensing boards.

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