Physician

Peter C. O. Fenton, M.D.

According to 2025 Medicare claims, Peter Fenton, M.D. (NPI: 1952311797) practices gastroenterology in the Salt Lake City-Murray, UT market, with the plurality of this provider's patient population coming from Salt Lake, UT. This provider's primary affiliated billing organization is UTAH GASTROENTEROLOGY LLC (NPI: 1972510717; TIN: 870543318) and primary practice location at 84121-6932.

Fenton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 403 traditional Medicare patients, billed 17,427 HCPCS/CPT codes, and received $299,492 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,191 prescription claims across 280 beneficiaries totaling $1,561,770 in drug costs, led by Stelara (Ustekinumab). Open Payments data shows 12 records totaling $205. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $104,261 to $299,492. Similarly, Part D prescription costs have moved sharply higher in recent years, from $487,451 to $1,561,770. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$161K$321K2015 Medicare payment: $104,261 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $147,073 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $169,486 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $190,870 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $267,488 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $292,725 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $243,523 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $238,771 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $321,420 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $299,492 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015383867$104,261
20164327,076$147,073
20174365,480$169,486
20184805,441$190,870
201946411,208$267,488
202035915,717$292,725
202138411,414$243,523
202243410,821$238,771
202346417,932$321,420
202440317,427$299,492

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$781K$1.6M2015 Drug cost: $487,451 (USD; Tot_Drug_Cst)2016 Drug cost: $550,581 (USD; Tot_Drug_Cst)2017 Drug cost: $545,072 (USD; Tot_Drug_Cst)2018 Drug cost: $504,520 (USD; Tot_Drug_Cst)2019 Drug cost: $410,032 (USD; Tot_Drug_Cst)2020 Drug cost: $273,983 (USD; Tot_Drug_Cst)2021 Drug cost: $389,957 (USD; Tot_Drug_Cst)2022 Drug cost: $647,353 (USD; Tot_Drug_Cst)2023 Drug cost: $870,010 (USD; Tot_Drug_Cst)2024 Drug cost: $1,561,770 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153001,656$487,451
20163521,518$550,581
20173681,442$545,072
20183231,339$504,520
20194011,445$410,032
20202871,313$273,983
20212581,318$389,957
20222661,144$647,353
20232911,260$870,010
20242801,191$1,561,770

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare104104$199
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm4145$93
45380Biopsy of large bowel using a flexible endoscope130131$75
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6284$57
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope105112$49

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
StelaraUstekinumab381,220$1,051,734
Humira(Cf) PenAdalimumab23644$172,481
Amjevita(Cf) AutoinjectorAdalimumab-Atto17476$116,021
XifaxanRifaximin18460$53,108
LinzessLinaclotide371,770$32,942

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.11$205GENZYME CORPORATION
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.1$6,880GastroGPO, LLC

FAQ

What Medicare data is available for Peter C. O. Fenton, M.D.?

Tedicare shows public-source Medicare data for Peter C. O. Fenton, M.D. (NPI 1952311797), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Peter C. O. Fenton, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Peter C. O. Fenton, M.D.?

Peter C. O. Fenton, M.D. is linked to UTAH GASTROENTEROLOGY LLC (billing NPI 1972510717) in the available physician profile data.

Does Peter C. O. Fenton, M.D. have Open Payments data?

Peter C. O. Fenton, M.D. has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.