Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Lyman Peterson, PA-C

Individual provider Medical Physician Assistant · NPI 1689308744

Kevin Lyman Peterson, PA-C is a Physician Assistant in West Jordan, Utah. Qualified in 2021, 5 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3570 W 9000 S
West Jordan, UT 84088-8869
Phone: (801) 903-5620
Fax: (385) 351-6718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5242 S College Dr Ste 200, Murray, UT 84123-2918 — (385) 365-5053

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12857669-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 12857669-1206 (UT)

Record details

NPI number1689308744
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 63 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $670 31 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Holy Cross Hospital-Jordan Valley Hospital · West Jordan, UT

Colleagues at Catholic Health Initiatives Colorado

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1266 clinicians in the practice; 12 are shown here.

Other providers in West Jordan