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Shaun M Petersen , PA

Physician Assistant • North Logan, UT

Active NPI 1497911556 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2310 N 400 E, Ste A
North Logan, UT 843411788

Call 4357872000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2310 N 400 E
Ste A

North Logan, UT 843411788

Telephone 4357872000
Fax 4357871913
Organization at the Same NPPES Address or Phone
Alpine Management And Consulting Facility NPI 1427184449

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ihc Health Services Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2008

Medicare patients

94 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $3,004 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $2,146 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

74 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$798 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $34.16 across 2 records.

By nature of payment

  • Food and Beverage: $34.16 across 2 records.

Reporting-company totals

  • Stryker Corporation: $34.16 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shaun Petersen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shaun Petersen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in North Logan and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Utah (2024, 975 clinicians with data). Median for this group: 203. Middle half: 86 to 427.

Too few clinicians listed under Physician Assistant in North Logan have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Utah (2024, 975 clinicians with data). Median for this group: $13,634. Middle half: $6,079 to $25,434.

Too few clinicians listed under Physician Assistant in North Logan have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Utah (2024, 975 clinicians with data). Median for this group: $9,966. Middle half: $4,171 to $19,264.

Too few clinicians listed under Physician Assistant in North Logan have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Utah (2024, 1,044 clinicians with data). Median for this group: 248. Middle half: 70 to 833.

Too few clinicians listed under Physician Assistant in North Logan have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Utah (2024, 1,044 clinicians with data). Median for this group: $6,840. Middle half: $783 to $78,304.

Too few clinicians listed under Physician Assistant in North Logan have Medicare Part D data for 2024 to compare.

7 active clinicians are listed under Physician Assistant with a practice address in North Logan, UT (1,945 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $34.16.

Manufacturer Payment Nature Product Type Amount ($)
Stryker Corporation
Food and Beverage
In-kind items and services
GAMMA General $18.13
Stryker Corporation
Food and Beverage
In-kind items and services
GAMMA General $16.03

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
14 14 $205.00 $73.16

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 48 283 $211.05 30
Celecoxib Celecoxib 14 420 $556.10 —
Tramadol Hcl Tramadol Hcl 12 94 $31.00 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20080825000489

Enrollment State Jurisdiction

UT

PECOS Control ID

8729153804

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017764444

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017796200

Ihc Health Services Inc

2075 University Park Blvd, Layton, UT 840411611

Ihc Health Services Inc

4401 Harrison Blvd, Ogden, UT 844033195

Ihc Health Services Inc

4403 Harrison Blvd, Ogden, UT 844033297

Phone: 8013872750

Ihc Health Services Inc

5323 S Woodrow St, Murray, UT 841075841

Phone: 8012618346

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Phone: 8015073500

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Dr. Russell Buttars , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1043428634

Doctor of Podiatric Medicine

Randy Chadwell , PA

Physician Assistant - Surgical

NPI 1295838605

Physician Assistant

Dr. Michael Clegg , MD

Physical Medicine & Rehabilitation

NPI 1679561708

Doctor of Medicine (M.D.)

Lance Delange , FNP

Nurse Practitioner

NPI 1861476939

Family Nurse Practitioner

Matthew Dewey

Physician Assistant

NPI 1164152492
Dr. Terry Finlayson , MD

Orthopaedic Surgery

NPI 1316935539

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated July 29, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

No reviews have been published yet. Leave a review.

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

Other Physician Assistants in North Logan

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 4358909466

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.