PETER J DEWEERD (M.D.) – Emergency Medicine Physician, NPI 1134166259

PETER J DEWEERD (M.D.) is a healthcare provider. based in South jordan, Utah. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 5236766-1205 (UT). The NPI Number for PETER J DEWEERD (M.D.) is 1134166259

Main info

Male
Name
PETER J DEWEERD (M.D.)
NPI
1134166259
Phone
(801) 352-9500
Address
PO BOX 95970
Enumeration Date
31 May 2006
Last Update Date
19 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PETER J DEWEERD (M.D.)

  • South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States

    SOUTH JORDAN, UT 840950970

    Phone: (801) 352-9500

    Fax: (801) 352-9502

    Type: Mailing

  • St. Mark's Hospital, 1200, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States

    SALT LAKE CITY, UT 841241300

    Phone: (801) 268-7975

    Fax: (801) 270-3324

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-02-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050218000817IFamily PracticeUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making183177$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only118110$0
99284Emergency department visit with moderate level of medical decision making8583$0
99291Critical care, first 30-74 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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Reviews

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Frequently asked questions

What unique ID ties claims to PETER J DEWEERD (M.D.)?
NPI 1134166259 is assigned to PETER J DEWEERD (M.D.) under the national enumeration system.
Is PETER J DEWEERD (M.D.) currently active in the NPI registry?
CMS-published data lists PETER J DEWEERD (M.D.) as an active registrant.
What kind of provider is PETER J DEWEERD (M.D.)?
The page reflects Emergency Medicine Physician for PETER J DEWEERD (M.D.). Clinical services aligned with this taxonomy classification.
Does PETER J DEWEERD (M.D.) practice in Utah?
You will see South Jordan, Utah on file for PETER J DEWEERD (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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