Kevin Lyman Peterson, PA-C
Physician Assistant · West Jordan, UT
Kevin Lyman Peterson, PA-C is a physician assistant with a practice address in West Jordan, Utah, and NPI 1689308744, issued on Jul 14, 2022. Check the license (Utah 12857669-1206, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kevin Lyman Peterson
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 12857669-1206 UT
Self-reported in NPPES; status is on the state search - Practice location
- 3570 W 9000 S, West Jordan, UT 84088
- Phone
- (801) 903-5620
- Enumerated
- Jul 14, 2022
- Record last updated
- Nov 26, 2024
- Fax
- (385) 351-6718
- Medicare enrollment
- Enrolled (PECOS I20240822002832); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,887 in Utah → Look up another NPI →
Also registered at 3570 W 9000 S
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kevin Lyman Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 12857669-1206Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
94% fewer Medicare Part D claims than the average physician assistant in 2024
48 Medicare Part D claims for 29 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $17.45
1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Catholic Health Initiatives ColoradoWest Valley City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kevin Lyman Peterson among 1,887 physician assistant records in Utah
Kevin Lyman Peterson, PA-C is one of 1,887 physician assistant records with a practice address in Utah. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 79% of them.
- NPI issued2022 · 79% of these records are older, 14% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2021 · median 2018 among the 1,302 with a school on file
- Record last updated2024 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
26 physician assistant records list a practice address in West Jordan
They are 26 of the 1,613 NPPES records with a practice address in West Jordan, and 1,887 physician assistant records in Utah.
All 1,887 in Utah → Every provider in West Jordan → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Todd Ashby, PAWest Jordan, UT 840881225099229
- Jennifer Avery, PAWest Jordan, UT 840881982666475
- Duane Bates, PAWest Jordan, UT 840881629038716
- Paula Bryant, PA-C, RDWest Jordan, UT 840881730429374
- Janis Cline, PACWest Jordan, UT 840881053327312
- Jon Hughes, PAWest Jordan, UT 840881205899416
- Oscar Johnson, PA -CWest Jordan, UT 840881487874608
- Cydney Mortensen, PAWest Jordan, UT 840881992766901
Common questions
What is Kevin Lyman Peterson, PA-C's NPI number?
Kevin Lyman Peterson, PA-C's National Provider Identifier (NPI) is 1689308744, issued on Jul 14, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Kevin Lyman Peterson, PA-C located?
The NPPES record lists a practice address at 3570 W 9000 S, West Jordan, UT, 84088. Phone: (801) 903-5620. Providers update this record themselves, so call before visiting.
How can I verify Kevin Lyman Peterson, PA-C's license?
NPPES lists Utah license number 12857669-1206, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Kevin Lyman Peterson, PA-C prescribe under Medicare Part D?
In 2024, Kevin Lyman Peterson, PA-C had 48 Medicare Part D claims for 29 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.