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Active NPI 1508061177 Individual Practitioner Male Practitioner

Dr. Everett Mark Petersen , MD

Anesthesiology • Sandy, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Everett Petersen, MD is a certified Anesthesiology practicing in Sandy, UT. With approximately 19 years of clinical experience since graduating from University Of Utah School Of Medicine in 2007, Dr. Petersen delivers high-quality medical care to the local community at 9660 SOUTH 1300 EAST.

Dr. Petersen is affiliated with Mountain West Anesthesia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for lens surgery, anesthesia for exam of colon using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9660 South 1300 East
Alta View Hospital

Sandy, UT 84094

Telephone 8015012600
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1669498069

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Sandy, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -1.6 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Sandy, UT (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (19 Years) 19 Yrs
Sandy Specialty Average (20.6 Years) 20.6 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
00811 Anesthesia for procedure on large bowel using an endoscope
18 17 $731.50 $128.62
00142 Anesthesia for lens surgery
13 13 $693.00 $123.67

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License FL TRN11004

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License UT 370770-1205

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Mountain West Anesthesia Llc

1034 N 500, Provo, UT 846043380

Phone: 8013577850

Mountain West Anesthesia Llc

9660 S 1300, Sandy, UT 840943762

Phone: 8015012600

Mountain West Anesthesia Llc

150 W Civic Ctr Dr, Sandy, UT 840704284

Phone: 8017272056

Mountain West Anesthesia Llc

5121 S Cottonwood St, Murray, UT 841075701

Phone: 8015077000

Practice Associates & Co-Workers

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

23 Associated Practitioners
NPI 1053546101

Doctor of Medicine (M.D.)

Sarah Jensen , RN

Registered Nurse

NPI 1063618999

Registered Nurse

Dr. Todd Blood , MD

Anesthesiology

NPI 1073607313

Doctor of Medicine (M.D.)

Elizabeth Hanna , NP

Nurse Practitioner

NPI 1154979763

Nurse Practitioner

Dr. James Yee , MD

Anesthesiology

NPI 1164525010

Doctor of Medicine (M.D.)

Suzanne Martin , MS, CCC-SLP

Speech-Language Pathologist

NPI 1275012718

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2012

Registered at 9660 SOUTH 1300 EAST, ALTA VIEW HOSPITAL, SANDY, UT 84094 (Tel: 8015012600)

📍
Updated Business Mailing Address October 15, 2012

Registered at 3340 NORTH CENTER ST, #800, LEHI, UT 840437406 (Tel: 8019901911)

👤
Provider Name / Credentials Updated October 15, 2012

Recorded as EVERETT PETERSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2012

Anesthesiology (License #TRN11004 in FL)

🟢
Initial NPI Registration & Enumeration June 15, 2007

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: 1508061177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2007
Last Update: October 15, 2012
Sole Proprietor: No

Mailing Address

3340 North Center St, #800

Lehi, UT 840437406

Phone: 8019901911

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.