Doctor profile · Federal record

Dr. Clark Petersen, M.D.

Anesthesiology Physician (CMS: Anesthesiology) · Layton, UT

  • NPI 1275519894
  • Accepts Medicare
  • 37 yrs in practice
  • Male
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1544 W Antelope Dr
Layton, UT 840411146
(801) 773-3339
fax (801) 773-6727
Mailing address
2551 Lewis Park Dr
Bountiful, UT 840105762

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
July 8, 2007
Year of graduation
1989 — 37 yrs since
Specialty taxonomy
207L00000X — NUCC code
State license (1)
Utah #3609501205
Medicaid
UT #87057151003

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1275519894. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
64
Distinct HCPCS
1
Medicare allowed
$8,399
HCPCS Description Services Patients Avg allowed
00142 Anesthesia for lens surgery 64 64 $131

In context: peer comparison

Among 6 peers in this city , average services per provider: 45. This provider delivers 1.4× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Clark Petersen's medical specialty?
Dr. Clark Petersen practices Anesthesiology Physician in Layton, UT.
Where does Dr. Clark Petersen practice?
Dr. Clark Petersen practices at 1544 W Antelope Dr, Layton, UT 840411146. Office phone: 8017733339.
What is Dr. Clark Petersen's NPI?
Dr. Clark Petersen's National Provider Identifier (NPI) is 1275519894, issued by NPPES.
Does Dr. Clark Petersen accept Medicare assignment?
Yes. Dr. Clark Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Clark Petersen commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142). Source: CMS Medicare Physician & Other Practitioners file.