Shane L. Petersen, MD
Anesthesiology Physician · Murray, UT
Shane L. Petersen, MD is an anesthesiology physician with a practice address in Murray, Utah, and NPI 1770593246, issued on Aug 8, 2006. Check the license (Utah 2434068-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Shane L. Petersen
- Credential
- MD
- Primary taxonomy
- Anesthesiology Physician 207L00000X
- License numbers
- 2434068-1205 UT
MD227949 OR
Self-reported in NPPES; status is on the state search - Practice location
- 5121 S Cottonwood Street, Murray, UT 84157
- Phone
- (801) 507-5248
- Enumerated
- Aug 8, 2006
- Record last updated
- Dec 29, 2025
- Fax
- (801) 733-5618
- Medicaid IDs
- 100506343 NV
121124200 WY
807171600 ID
941379 AZ - Medicare enrollment
- Enrolled (PECOS I20050914000395); accepts Medicare assignment
- Medical or professional school
- University Of Utah School Of Medicine, 2001
- Entity
- Type 1 · individual
8 nearest anesthesiology physician records → All 670 in Utah → Look up another NPI →
Also registered at 5121 S Cottonwood Street
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joan Abele, MDAnesthesiology Physician1730193053
- Justin Aden, MDAnesthesiology Physician1043432651
- Barry Bergquist, MDAnesthesiology Physician1932118171
- Cris Cowley, MDAnesthesiology Physician1417966656
- Kevin Cummisford, M.D.Anesthesiology Physician1194847723
- Michael Farley, MDAnesthesiology Physician1538265947
Verify Shane L. Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 2434068-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 79.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $26.08
1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 17,774 providers of this specialty with any payment received $669.59 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 2 group practices
- Cep America - Anesthesia PCRoseburg, OR
- Mountain West Anesthesia LLCSandy, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane L. Petersen among 670 anesthesiology physician records in Utah
Shane L. Petersen, MD is one of 670 anesthesiology physician records with a practice address in Utah. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 56% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2001 · median 2008 among the 452 with a school on file
- Record last updated2025 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207L00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
75 anesthesiology physician records list a practice address in Murray
They are 75 of the 3,116 NPPES records with a practice address in Murray, and 670 anesthesiology physician records in Utah.
All 670 in Utah → Every provider in Murray → Anesthesiology Physician nationwide →
The 8 anesthesiology physician records with the nearest ZIP codes
- Joan Abele, MDMurray, UT 841571730193053
- Barry Bergquist, MDMurray, UT 841571932118171
- Cris Cowley, MDMurray, UT 841571417966656
- Ethan Fisher, MDMurray, UT 841571073522397
- Richard Green, MDMurray, UT 841571881603199
- George Matthews, MDMurray, UT 841571437252673
- Gregory McComas, MDMurray, UT 841571932210853
- Jayaprakash Moodalagiriappa, MDMurray, UT 841571083721765
Common questions
What is Shane L. Petersen, MD's NPI number?
Shane L. Petersen, MD's National Provider Identifier (NPI) is 1770593246, issued on Aug 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shane L. Petersen, MD located?
The NPPES record lists a practice address at 5121 S Cottonwood Street, Murray, UT, 84157. Phone: (801) 507-5248. Providers update this record themselves, so call before visiting.
How can I verify Shane L. Petersen, MD's license?
NPPES lists Utah license number 2434068-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Shane L. Petersen, MD's MIPS final score?
The 2023 MIPS final score is 79.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.