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Active NPI 1316987613 Individual Practitioner Male Practitioner

Dr. Lee M Peterson , MD

Surgery • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Lee Peterson, MD is a registered healthcare professional specializing in Surgery in Provo, UT. Practice services are available at 3550 N UNIVERSITY AVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, removal of gallbladder with x-ray study of bile ducts using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3550 N University Ave
Suite 250

Provo, UT 84604

Telephone 8013749625
Fax 8013749690
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Provo, UT (278 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.5% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $200.00 $105.18
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope
16 16 $1237.50 $534.25
99213 Established patient office or other outpatient visit, typically 15 minutes
13 11 $125.00 $70.83

Medical Specialties & State Licenses

CMS Verified: 2026-07-09
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 1766331205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
870516264009 (UT)

Practice Associates & Co-Workers

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

20 Associated Practitioners
Christy Anderson , APRN

Nurse Practitioner

NPI 1083869101

Advanced Practice Registered Nurse

NPI 1164528717

Doctor of Medicine (M.D.)

Lacee Wilkinson , PA-C

Physician Assistant - Surgical

NPI 1164709630

Physician Assistant (Certified)

Wesley Larsen , APRN

Nurse Practitioner - Family

NPI 1174770440

Advanced Practice Registered Nurse

David Brock , PA-C

Physician Assistant - Surgical

NPI 1205024122

Physician Assistant (Certified)

NPI 1215977517

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 July 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2007

Registered at 3550 N UNIVERSITY AVE, SUITE 250, PROVO, UT 84604 (Tel: 8013749625)

📍
Updated Business Mailing Address July 10, 2007

Registered at 3550 N UNIVERSITY AVE, SUITE 250, PROVO, UT 84604 (Tel: 8013749625)

👤
Provider Name / Credentials Updated July 10, 2007

Recorded as LEE PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2007

Surgery (License #1766331205 in UT)

🟢
Initial NPI Registration & Enumeration June 07, 2006

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: 1316987613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: July 09, 2026
Sole Proprietor: No

Mailing Address

3550 N University Ave, Suite 250

Provo, UT 84604

Phone: 8013749625

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.