Deactivated NPI 1174834394 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Ryan Peterson , MD

Radiology - Diagnostic Radiology • Orem, UT

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 23, 2010

NPI Deactivation Date May 22, 2024

Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Peterson, MD was a registered Radiology - Diagnostic Radiology practicing in Orem, UT. Throughout an active medical career spanning 14 years, Dr. Peterson provided care at the practice location at 560 W 800 N until profile deactivation on 2024-05-22.

Historical Medicare Part B clinical services included ct scan of abdomen and pelvis with contrast, x-ray of chest, 1 view, ct scan of blood vessels of chest with contrast. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

560 W 800 N

Orem, UT 840573746

Telephone 8012256246

Fax 8012251525

Associated Practice Facility / Clinic

🏢 Personal Care Emergency Physicians, P.c. Facility NPI 1649644741

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Orem, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Orem, UT (341 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74177 Ct scan of abdomen and pelvis with contrast	64	63	$276.94	$84.00
71045 X-ray of chest, 1 view	30	29	$27.00	$8.47
71275 Ct scan of blood vessels of chest with contrast	21	21	$296.77	$82.77
70450 Ct scan head or brain without contrast	19	19	$135.74	$38.07
74176 Ct scan of abdomen and pelvis without contrast	19	19	$262.14	$80.19
71046 X-ray of chest, 2 views	17	17	$30.26	$10.14
71260 Ct scan of chest with contrast	16	16	$191.83	$52.07
72131 CT scan of lower spine	14	14	$150.86	$43.40
71250 Ct scan of chest without contrast	13	13	$155.58	$49.33
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$43.28	$12.09
73502 X-ray of hip, 2-3 views	12	11	$30.91	$10.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	309	282	$23.68	$8.64
74177 Ct scan of abdomen and pelvis with contrast	196	192	$247.21	$85.57
70450 Ct scan head or brain without contrast	159	157	$120.45	$38.79
71275 Ct scan of blood vessels of chest with contrast	88	88	$267.48	$84.27
74176 Ct scan of abdomen and pelvis without contrast	83	79	$234.98	$81.61
71046 X-ray of chest, 2 views	63	62	$27.27	$10.21
74018 X-ray of abdomen, 1 view	53	51	$23.40	$8.66
71260 Ct scan of chest with contrast	51	51	$171.40	$52.36
71250 Ct scan of chest without contrast	47	47	$137.91	$49.19
72125 Ct scan of upper spine without contrast	46	46	$146.32	$46.18
70498 Ct scan of blood vessels of neck with contrast	34	34	$248.90	$77.95
70496 Ct scan of blood vessels of head with contrast	33	33	$238.01	$80.80
72131 CT scan of lower spine	33	33	$135.00	$44.92
73502 X-ray of hip, 2-3 views	32	29	$29.57	$10.68
76705 Limited ultrasound scan of abdomen	28	27	$72.39	$27.23
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$29.37	$10.63
73030 X-ray of shoulder, minimum of 2 views	24	21	$24.34	$8.97
73562 X-ray of knee, 3 views	22	21	$24.97	$8.99
70551 Mri scan of brain without contrast	19	19	$365.60	$68.87
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	18	$164.84	$20.96
71046 X-ray of chest, 2 views	17	17	$26.03	$9.95
73110 X-ray of wrist, minimum of 3 views	16	15	$23.64	$8.35
72148 MRI scan of lower spinal canal	16	16	$358.51	$65.94
73630 X-ray of foot, minimum of 3 views	14	14	$21.02	$7.98
73610 X-ray of ankle, minimum of 3 views	13	13	$21.02	$8.31
70486 CT scan of face	13	13	$139.76	$38.96
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	13	13	$298.76	$102.14
73590 X-ray of lower leg, 2 views	13	13	$22.17	$7.67
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$38.73	$12.30
72128 CT scan of middle spine	12	12	$135.00	$45.10
72170 X-ray of pelvis, 1-2 views	12	12	$22.41	$8.30
76830 Ultrasound pelvis through vagina	12	12	$85.42	$32.65
76856 Complete ultrasound scan of pelvis	12	12	$82.99	$32.68
76700 Ultrasound of abdomen	11	11	$104.77	$38.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	497	437	$23.80	$8.77
74177 Ct scan of abdomen and pelvis with contrast	226	223	$243.96	$86.43
70450 Ct scan head or brain without contrast	195	188	$120.36	$39.99
71275 Ct scan of blood vessels of chest with contrast	126	126	$262.77	$86.18
71046 X-ray of chest, 2 views	99	98	$26.75	$10.53
74176 Ct scan of abdomen and pelvis without contrast	85	83	$231.92	$83.40
74018 X-ray of abdomen, 1 view	72	69	$22.98	$8.72
73502 X-ray of hip, 2-3 views	60	59	$27.47	$10.84
72125 Ct scan of upper spine without contrast	51	51	$143.40	$46.96
71046 X-ray of chest, 2 views	51	51	$25.78	$10.52
71260 Ct scan of chest with contrast	49	49	$172.17	$53.84
73030 X-ray of shoulder, minimum of 2 views	42	39	$24.68	$9.13
71250 Ct scan of chest without contrast	37	37	$135.84	$51.13
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	34	34	$154.86	$21.31
72131 CT scan of lower spine	29	29	$139.35	$44.54
73562 X-ray of knee, 3 views	29	24	$23.86	$9.12
76705 Limited ultrasound scan of abdomen	26	26	$69.42	$28.06
73630 X-ray of foot, minimum of 3 views	23	19	$21.51	$8.13
70496 Ct scan of blood vessels of head with contrast	20	20	$230.85	$83.03
76700 Ultrasound of abdomen	19	19	$94.38	$38.68
70498 Ct scan of blood vessels of neck with contrast	19	19	$229.98	$79.28
73610 X-ray of ankle, minimum of 3 views	19	19	$22.02	$8.47
76770 Complete ultrasound scan behind abdominal cavity	18	17	$88.30	$34.98
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	17	$242.82	$32.87
73502 X-ray of hip, 2-3 views	16	16	$27.80	$10.84
72148 MRI scan of lower spinal canal	15	15	$351.48	$68.48
70551 Mri scan of brain without contrast	15	15	$359.08	$69.37
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$27.12	$10.84
72192 Ct scan pelvis	13	13	$148.26	$52.02
73590 X-ray of lower leg, 2 views	12	11	$20.61	$7.79
73130 X-ray of hand, minimum of 3 views	12	11	$21.77	$8.48
73080 X-ray of elbow, minimum of 3 views	12	12	$20.61	$8.46
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	12	12	$317.80	$113.90
73562 X-ray of knee, 3 views	11	11	$23.86	$9.12
73630 X-ray of foot, minimum of 3 views	11	11	$22.19	$8.13
76856 Complete ultrasound scan of pelvis	11	11	$81.36	$33.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	446	395	$23.04	$9.11
70450 Ct scan head or brain without contrast	199	194	$117.30	$41.75
74177 Ct scan of abdomen and pelvis with contrast	161	157	$239.68	$90.69
71046 X-ray of chest, 2 views	111	108	$26.68	$10.91
71275 Ct scan of blood vessels of chest with contrast	98	97	$257.95	$89.89
74176 Ct scan of abdomen and pelvis without contrast	72	72	$230.16	$86.90
77080 Dxa bone density measurement of hip, pelvis, spine	69	69	$23.28	$9.90
71046 X-ray of chest, 2 views	56	56	$26.66	$10.76
73502 X-ray of hip, 2-3 views	54	53	$27.50	$11.24
74018 X-ray of abdomen, 1 view	44	43	$22.62	$9.15
71260 Ct scan of chest with contrast	43	43	$171.42	$60.46
73030 X-ray of shoulder, minimum of 2 views	36	32	$23.96	$9.47
72125 Ct scan of upper spine without contrast	35	35	$142.60	$48.96
76705 Limited ultrasound scan of abdomen	32	31	$72.10	$28.70
71250 Ct scan of chest without contrast	29	29	$133.60	$56.26
72131 CT scan of lower spine	26	26	$130.88	$47.55
73562 X-ray of knee, 3 views	26	23	$24.23	$9.48
70496 Ct scan of blood vessels of head with contrast	24	24	$233.88	$86.63
70498 Ct scan of blood vessels of neck with contrast	23	23	$227.44	$83.08
73560 X-ray of knee, 1-2 views	21	17	$21.17	$8.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	21	$157.52	$21.55
73110 X-ray of wrist, minimum of 3 views	18	17	$21.43	$8.78
72170 X-ray of pelvis, 1-2 views	16	16	$21.17	$8.78
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$27.16	$11.23
73590 X-ray of lower leg, 2 views	14	13	$20.11	$8.12
73030 X-ray of shoulder, minimum of 2 views	14	13	$23.28	$9.49
70551 Mri scan of brain without contrast	14	14	$350.32	$72.72
76700 Ultrasound of abdomen	13	13	$92.08	$40.79
73630 X-ray of foot, minimum of 3 views	13	13	$21.49	$8.47
73110 X-ray of wrist, minimum of 3 views	11	11	$20.83	$8.26
73610 X-ray of ankle, minimum of 3 views	11	11	$22.64	$8.80
73502 X-ray of hip, 2-3 views	11	11	$27.51	$11.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	615	533	$21.98	$9.21
70450 Ct scan head or brain without contrast	270	261	$112.27	$42.04
71046 X-ray of chest, 2 views	259	255	$25.78	$10.95
74177 Ct scan of abdomen and pelvis with contrast	198	195	$233.82	$91.60
74176 Ct scan of abdomen and pelvis without contrast	119	119	$221.89	$87.20
71046 X-ray of chest, 2 views	84	83	$24.29	$10.90
71275 Ct scan of blood vessels of chest with contrast	79	78	$253.69	$91.18
73502 X-ray of hip, 2-3 views	61	60	$27.96	$11.34
72125 Ct scan of upper spine without contrast	58	57	$141.31	$52.68
74018 X-ray of abdomen, 1 view	58	54	$21.99	$9.24
73030 X-ray of shoulder, minimum of 2 views	57	54	$23.39	$9.56
76705 Limited ultrasound scan of abdomen	50	50	$71.96	$29.26
73562 X-ray of knee, 3 views	45	43	$24.45	$9.56
71260 Ct scan of chest with contrast	43	43	$162.03	$59.88
71250 Ct scan of chest without contrast	39	39	$133.39	$58.18
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	37	$150.24	$22.86
72131 CT scan of lower spine	36	36	$127.25	$48.81
76700 Ultrasound of abdomen	35	35	$90.87	$40.60
73630 X-ray of foot, minimum of 3 views	27	26	$25.59	$8.53
70496 Ct scan of blood vessels of head with contrast	26	26	$233.90	$88.47
70498 Ct scan of blood vessels of neck with contrast	24	24	$230.38	$84.26
76770 Complete ultrasound scan behind abdominal cavity	23	22	$84.42	$37.22
73110 X-ray of wrist, minimum of 3 views	22	22	$20.16	$8.88
70551 Mri scan of brain without contrast	21	20	$338.69	$73.92
73560 X-ray of knee, 1-2 views	21	18	$22.80	$8.50
72170 X-ray of pelvis, 1-2 views	19	19	$20.73	$8.87
73030 X-ray of shoulder, minimum of 2 views	18	17	$23.95	$9.55
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$27.42	$11.34
72148 MRI scan of lower spinal canal	17	17	$331.01	$75.14
73610 X-ray of ankle, minimum of 3 views	16	16	$20.46	$8.87
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	15	$230.78	$35.01
72128 CT scan of middle spine	15	15	$124.44	$49.00
72192 Ct scan pelvis	14	14	$148.91	$54.81
73562 X-ray of knee, 3 views	14	13	$23.09	$9.56
73130 X-ray of hand, minimum of 3 views	13	11	$19.97	$8.88
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	11	11	$291.00	$120.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	752	623	$22.09	$9.08
70450 Ct scan head or brain without contrast	328	316	$114.73	$41.26
71046 X-ray of chest, 2 views	302	292	$27.24	$10.83
74177 Ct scan of abdomen and pelvis with contrast	225	225	$229.77	$90.80
71275 Ct scan of blood vessels of chest with contrast	89	88	$257.41	$89.20
74018 X-ray of abdomen, 1 view	85	77	$23.22	$9.09
74176 Ct scan of abdomen and pelvis without contrast	85	85	$220.46	$86.79
71046 X-ray of chest, 2 views	59	59	$24.16	$10.84
72125 Ct scan of upper spine without contrast	58	57	$142.95	$52.16
73030 X-ray of shoulder, minimum of 2 views	54	51	$24.57	$9.44
73502 X-ray of hip, 2-3 views	51	51	$29.02	$11.19
71260 Ct scan of chest with contrast	50	50	$158.56	$60.20
73562 X-ray of knee, 3 views	48	44	$24.17	$9.31
71250 Ct scan of chest without contrast	45	44	$125.82	$56.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	41	40	$146.90	$22.51
72131 CT scan of lower spine	35	35	$126.54	$48.05
76705 Limited ultrasound scan of abdomen	31	31	$70.39	$29.04
76700 Ultrasound of abdomen	30	30	$89.43	$40.14
76770 Complete ultrasound scan behind abdominal cavity	29	29	$84.00	$36.69
70498 Ct scan of blood vessels of neck with contrast	27	27	$224.59	$83.15
70496 Ct scan of blood vessels of head with contrast	26	26	$230.15	$86.96
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	25	25	$284.00	$118.40
73630 X-ray of foot, minimum of 3 views	24	23	$23.75	$7.87
70551 Mri scan of brain without contrast	23	23	$333.52	$73.58
74019 X-ray of abdomen, 2 views	20	18	$31.20	$11.52
72170 X-ray of pelvis, 1-2 views	19	18	$20.42	$8.74
72148 MRI scan of lower spinal canal	17	17	$324.00	$73.84
73610 X-ray of ankle, minimum of 3 views	16	15	$19.56	$8.75
72128 CT scan of middle spine	15	15	$133.53	$48.12
73560 X-ray of knee, 1-2 views	14	13	$23.00	$8.38
76706 Ultrasound scan of abdominal aorta	14	14	$66.79	$27.53
70486 CT scan of face	14	14	$122.50	$41.36
73110 X-ray of wrist, minimum of 3 views	13	13	$20.38	$8.76
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$26.85	$11.19
76856 Complete ultrasound scan of pelvis	12	12	$80.00	$33.94
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$22.83	$10.08
73030 X-ray of shoulder, minimum of 2 views	11	11	$22.82	$9.42
73130 X-ray of hand, minimum of 3 views	11	11	$23.36	$8.76
72192 Ct scan pelvis	11	11	$141.34	$53.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71010 X-ray of chest, 1 view, front	762	626	$22.87	$9.06
71020 X-ray of chest, 2 views, front and side	381	364	$28.52	$10.77
70450 Ct scan head or brain without contrast	272	262	$140.06	$41.83
74177 Ct scan of abdomen and pelvis with contrast	179	174	$259.06	$90.80
74176 Ct scan of abdomen and pelvis without contrast	79	76	$232.17	$86.70
71275 Ct scan of blood vessels of chest with contrast	76	76	$277.75	$91.44
71020 X-ray of chest, 2 views, front and side	68	66	$25.16	$10.80
73030 X-ray of shoulder, minimum of 2 views	62	58	$26.06	$9.29
74000 X-ray of abdomen, single view	59	54	$23.15	$8.83
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	59	59	$175.32	$22.08
76770 Complete ultrasound scan behind abdominal cavity	53	53	$87.28	$36.38
72125 Ct scan of upper spine without contrast	48	48	$176.93	$52.93
73502 X-ray of hip, 2-3 views	44	44	$30.87	$10.96
76700 Ultrasound of abdomen	41	40	$101.35	$39.32
73562 X-ray of knee, 3 views	40	39	$25.10	$9.39
71260 Ct scan of chest with contrast	36	36	$187.21	$60.46
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$28.56	$11.15
70496 Ct scan of blood vessels of head with contrast	31	31	$269.10	$84.31
72131 CT scan of lower spine	31	31	$137.39	$47.94
70498 Ct scan of blood vessels of neck with contrast	31	31	$244.90	$82.82
76705 Limited ultrasound scan of abdomen	30	30	$73.13	$28.25
70551 Mri scan of brain without contrast	27	27	$343.89	$70.88
72170 X-ray of pelvis, 1-2 views	25	24	$21.08	$8.73
71250 Ct scan of chest without contrast	25	25	$147.96	$50.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	22	22	$228.94	$34.74
93880 Ultrasound of both sides of head and neck blood flow	19	19	$189.12	$39.99
72128 CT scan of middle spine	18	18	$146.94	$48.26
73560 X-ray of knee, 1-2 views	18	15	$24.08	$7.66
73630 X-ray of foot, minimum of 3 views	18	17	$25.58	$8.38
70486 CT scan of face	17	17	$170.59	$41.75
73610 X-ray of ankle, minimum of 3 views	17	17	$20.59	$8.72
72148 MRI scan of lower spinal canal	17	17	$326.16	$74.44
72020 X-ray of spine, 1 view	17	13	$20.71	$7.68
73110 X-ray of wrist, minimum of 3 views	16	14	$24.74	$8.28
76706 Ultrasound scan of abdominal aorta	16	16	$123.75	$27.41
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	15	15	$273.00	$118.55
73060 X-ray of upper arm, minimum of 2 views	14	14	$24.53	$8.36
73080 X-ray of elbow, minimum of 3 views	14	13	$20.14	$8.70
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	14	14	$110.00	$36.55
74020 Imaging of abdomen	11	11	$35.53	$13.69
73090 X-ray of forearm, 2 views	11	11	$20.90	$8.37
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$32.16	$10.06

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License UT 973528-1205

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Daniel Corey , MD

Radiology - Diagnostic Radiology

NPI 1033371760

Doctor of Medicine (M.D.)

Cody Jarrett , PA

Physician Assistant

NPI 1134419724

Physician Assistant

Justin Marshall

Radiology - Diagnostic Radiology

NPI 1184129272

Dr. Cody Christensen , DO

Radiology - Vascular & Interventional Radiology

NPI 1205156056

Doctor of Osteopathic Medicine (D.O.)

Dr. Daniel Adams , MD

Radiology - Vascular & Interventional Radiology

NPI 1326345257

Doctor of Medicine (M.D.)

Dr. Cody Larson , MD

Radiology - Diagnostic Radiology

NPI 1386986057

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

⚠️

NPI Profile Deactivated May 22, 2024

Record deactivated on May 22, 2024

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2024

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active July 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2016

Registered at 560 W 800 N, OREM, UT 840573746 (Tel: 8012256246)

📍

Updated Business Mailing Address July 27, 2016

Registered at 560 W 800 N, OREM, UT 840573746 (Tel: 8012256246)

👤

Provider Name / Credentials Updated July 27, 2016

Recorded as MICHAEL PETERSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2016

Radiology (License #973528-1205 in UT)

🟢

Initial NPI Registration & Enumeration June 23, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174834394

Entity Type:

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

Enumeration Date: June 23, 2010

Last Update: July 27, 2016

Deactivation Date: May 22, 2024

Update or Correct Profile

Mailing Address

560 W 800 N

Orem, UT 840573746

Phone: 8012256246

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.