Shaun M. Petersen, PA
NPI 1497911556ActiveIndividual· Physician Assistant· North Logan, UT
Physician Assistant (PA) with Ihc Health Services Inc, practicing in North Logan, Utah. 94 Medicare patients in 2024, $7,338 paid; nearly all of their 127 Part D prescriptions were generic (98%). Stryker Corporation reported $34.16 in payments in 2025, mostly food and beverage. Lists Intermountain Health McKay-Dee Hospital as a hospital affiliation.
Overview
| NPI | 1497911556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 29, 2008 |
| Last updated in NPPES | Oct 1, 2021 |
| Certified by provider | Oct 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 7036833-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 158 across 45 procedure codes |
| Paid by Medicare | $7,338 |
Part D prescriptions in 2024
| Prescriptions (claims) | 127 · 127 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $1,400 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$34.16 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $34.16 | 2 |
What the 2025 payments were for
- Food and Beverage$34.16 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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