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

Travis A Peterson, DO

Individual provider Orthopaedic Surgery Physician · NPI 1033326020

Travis A Peterson, DO is a Hand Surgery in Provo, Utah. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2005, 21 years ago. Practices with Revere Health PC, a 410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
21
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
UT, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 500 W Ste 207
Provo, UT 84604-3305
Phone: (801) 375-4263
Fax: (801) 429-8085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 61 W 13490 S Ste 100, Draper, UT 84020-7299 — (801) 997-5770
  • 1055 N 500 W, Provo, UT 84604 — (801) 354-8225

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence 10858427-1204 (UT)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence OP60232831 (WA)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X · Licence OP60232831 (WA)

Record details

NPI number1033326020
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address61 W 13490 S Ste 100, Draper, UT 84020-7299

Medicare enrollment

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

Medicare specialtyHAND SURGERY
Also practisesORTHOPEDIC SURGERY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2005 (21 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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