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Dr. Marta J Petersen

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NPI Number Detailed Information

Provider Information:

Name: Dr. Marta J Petersen
Gender: F
Provider License Number If Given: 1664261205

NPI Information:

NPI: 1972601508
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/20/2006

Last Update Date: 11/11/2021

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 3208
Salt Lake City, UT 84110
Phone Number: 8015876340
Fax Number: 8015876346

Provider Business Practice Location Address:

Address: 50 N MEDICAL DR
Salt Lake City, UT 84132
Phone Number: 8015812955
Fax Number:

Provider Taxonomy:

Primary: 207NS0135X
Secondary (if any): 207N00000X
State: UT

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About Dr. Marta J Petersen

Dr. Marta J Petersen (DR. MARTA J PETERSEN ) is Procedural Dermatology Physician in Salt Lake City, UT. The NPI Number for Dr. Marta J Petersen is 1972601508.
The current location address for Dr. Marta J Petersen is 50 N MEDICAL DR Salt Lake City, UT 84132 and the contact number is 8015876340 and fax number is 8015876346. The mailing address for Dr. Marta J Petersen is PO BOX 3208 Salt Lake City, UT 84110- 8015812955 (mailing address contact number - 8015876340).
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Marta J Petersen ?


Answer: The NPI Number for Dr. Marta J Petersen is 1972601508

Where is Dr. Marta J Petersen located?


Answer: Dr. Marta J Petersen is located at 50 N MEDICAL DR Salt Lake City, UT 84132.

What is the specialty for Dr. Marta J Petersen ?


Answer: The Specialty of Dr. Marta J Petersen is Procedural Dermatology Physician.

Are there any online reviews for Dr. Marta J Petersen ?


Answer: Yes! Check It Now.

Are there any other health care providers in Salt Lake City, UT?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Marta J Petersen

Number of HCPCS 64
Number of Medicare Beneficiaries 125
Number of Services 546
Total Submitted Charge Amount 86467.28
Total Medicare Allowed Amount 29981.76
Total Medicare Payment Amount 21922.74
Total Medicare Standardized Payment Amount 22465.5
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 57
Number of Beneficiaries Age 75 to 84 47
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 80
Number of Male Beneficiaries 45
Number of Non-Hispanic White Beneficiaries 109
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 13
Number of Beneficiaries With Medicare Only Entitlement 112
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.1
Percent (%) of Beneficiaries Identified With Asthma 0.14
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.12
Percent (%) of Beneficiaries Identified With Depression 0.3
Percent (%) of Beneficiaries Identified With Diabetes 0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.36
Percent (%) of Beneficiaries Identified With Hypertension 0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis 0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.3451

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 242
Number of Standardized 30-Day Fills 308.9
Aggregate Cost Paid for All Claims 14402.4
Number of Day's Supply for All Claims 7714
Number of Medicare Beneficiaries 69
Number of Claims, Including Refills, for Beneficiaries Age 65+ 205
Including Refills, for Beneficiaries Age 65+ 250.4
Beneficiaries Age 65+ 10782.69
Number of Day's Supply for All Claims for Beneficaries Age 65+ 6065
Number of Medicare Beneficiaries Age 65+ 57
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 13
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 229
Aggregate Cost Paid for Generic Drugs 12472.78
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 97
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 6641.44
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 145
Aggregate Cost Paid for Claims Filled by 7760.96
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 37
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2858.22
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 205
by Low-Income Subsidy 11544.18
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 22
Aggregate Cost Paid for Antibiotic Drugs 464.94
Antibiotic Claims 11
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 71.086956522
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 27
Number of Beneficiaries Age 75 to 84 23
Number of Female Beneficiaries 46
Number of Male Beneficiaries 23
Number of Non-Hispanic White 56
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 54
Average Hierarchical Condition Category 1.6838360024

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