Doctor profile · Federal record
Dr. Shaun Petersen, PA
Physician Assistant · North Logan, UT
- NPI 1497911556
- Accepts Medicare
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2310 N 400 E, Ste A
North Logan, UT 843411788
(435) 787-2000
fax (435) 787-1913 - Mailing address
-
Po Box 27128
Salt Lake City, UT 841270128
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- October 1, 2021
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Utah #7036833-1206
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497911556. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
55
Distinct HCPCS
3
Medicare allowed
$3,412
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 29 | 27 | $46 | |
73552 |
X-ray of thigh bone, minimum 2 views | 15 | 13 | $26 | |
27236 |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 11 | 11 | $155 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 80. This provider delivers 0.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
50
Patients
19
Total drug cost
$231
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 37 | 19 | $169 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 13 | 0 | $62 |
Hospital affiliations
Frequently asked questions
What is Dr. Shaun Petersen's medical specialty?
Dr. Shaun Petersen practices Physician Assistant in North Logan, UT.
Where does Dr. Shaun Petersen practice?
Dr. Shaun Petersen practices at 2310 N 400 E, North Logan, UT 843411788. Office phone: 4357872000.
What is Dr. Shaun Petersen's NPI?
Dr. Shaun Petersen's National Provider Identifier (NPI) is 1497911556, issued by NPPES.
Does Dr. Shaun Petersen accept Medicare assignment?
Yes. Dr. Shaun Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shaun Petersen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); X-ray of thigh bone, minimum 2 views (HCPCS 73552); Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS 27236). Source: CMS Medicare Physician & Other Practitioners file.