Active NPI 1497911556 Individual Practitioner Male Practitioner

Shaun M Petersen , PA

Physician Assistant • North Logan, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shaun Petersen, PA is a certified Physician Assistant practicing in North Logan, UT. With approximately 18 years of clinical experience since completing medical education in 2008, Shaun Petersen delivers high-quality medical care to the local community at 2310 N 400 E.

Shaun Petersen is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of thigh bone, minimum 2 views, treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2310 N 400 E
Ste A

North Logan, UT 843411788

Telephone 4357872000

Fax 4357871913

Associated Practice Facility / Clinic

🏢 Alpine Management And Consulting Facility NPI 1801879226

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in North Logan, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +3.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

7 Specialists

Practicing in North Logan, UT (1904 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (18 Years) 18 Yrs

North Logan Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$129.00	$43.99
73552 X-ray of thigh bone, minimum 2 views	21	18	$73.00	$25.17
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$205.00	$73.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$87.17	$45.62
73552 X-ray of thigh bone, minimum 2 views	15	13	$52.20	$25.71
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$817.45	$154.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$75.18	$45.19
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$119.43	$72.68
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$805.00	$160.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$116.00	$75.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$69.00	$45.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$69.00	$37.31
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$116.00	$62.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	50	$69.00	$37.39
73552 X-ray of thigh bone, minimum 2 views	16	12	$49.69	$20.68
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$116.00	$61.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$173.00	$90.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	47	$69.00	$35.36
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$115.00	$60.15
20610 Aspiration and/or injection of fluid from large joint	14	13	$153.00	$48.86
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$782.00	$157.90
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$806.00	$162.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$69.00	$35.52
73552 X-ray of thigh bone, minimum 2 views	20	12	$61.80	$25.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$173.00	$85.64
73610 X-ray of ankle, minimum of 3 views	16	11	$64.94	$24.12
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$115.00	$54.90

Medical Specialties & State Licenses

CMS Verified: 2021-10-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 7036833-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017764444

Ihc Health Services Inc

5323 S Woodrow St, Murray, UT 841075841

Phone: 8012618346

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017796200

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

4403 Harrison Blvd, Ogden, UT 844033297

Phone: 8013872750

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Phone: 8015073500

Ihc Health Services Inc

2075 University Park Blvd, Layton, UT 840411611

Phone: 8013876200

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Phone: 8015016250

Ihc Health Services Inc

4401 Harrison Blvd, Ogden, UT 844033195

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Dr. Russell Buttars , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1043428634

Doctor of Podiatric Medicine

Dr. Ammon Hills , DO

Physical Medicine & Rehabilitation

NPI 1104246354

Doctor of Osteopathic Medicine (D.O.)

Dr. Richard St Onge , MD

Orthopaedic Surgery - Hand Surgery

NPI 1144219593

Doctor of Medicine (M.D.)

Matthew Dewey

Physician Assistant

NPI 1164152492

Dr. Gregory Hicken , MD

Orthopaedic Surgery

NPI 1225027931

Doctor of Medicine (M.D.)

Dr. Keith Nelson , MD

Orthopaedic Surgery

NPI 1245229954

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2015

Registered at 2310 N 400 E, STE A, NORTH LOGAN, UT 843411788 (Tel: 4357872000)

📍

Updated Business Mailing Address November 11, 2015

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 4358909466)

👤

Provider Name / Credentials Updated November 11, 2015

Recorded as SHAUN PETERSEN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Physician Assistant (License #7036833-1206 in UT)

🟢

Initial NPI Registration & Enumeration July 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497911556

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2008

Last Update: October 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 4358909466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.