Cacey William Peters, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

12888572-1235 Issued in UT

Practice address

1380 E Medical Center Dr
Saint George, UT 84790-2123

Phone

(435) 251-1000

NPI assigned

Mar 31, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, UT, CO, ID, AZ, NV, NE, FL8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 8

Specialty

Pathology

Education

Louisiana State University School of Medicine in New Orleans, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Services PCGroup PAC ID 7214903939, 5 clinicians

Richard Bernert LLCGroup PAC ID 7911046990, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard Bernert, LLC

  • Clinical Medical Laboratory
  • Scottsdale, AZ
  • NPI 1912234618
  Medicare reassignment Care Compare group NPD
• Pathology Services PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Cedar City, UT
  • NPI 1992777601

  AZ, CO, ID

  Medicare reassignment Care Compare group
• Laboratory Medicine Consultants LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
  • NPI 1083675169

  Dermatopathology

  Medicare reassignment NPD
• Laboratory Medicine Consultants LTD

  • Clinical Medical Laboratory
  • Las Vegas, NV
  • NPI 1962463786

  AZ

  Medicare reassignment NPD
• Mark and Kambour MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami Lakes, FL
  • NPI 1760456172
  Medicare reassignment NPD
• Osmond Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Mesquite, NV
  • NPI 1437913464
  Medicare reassignment NPD
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment NPD
• Pathology Experts Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • St George, UT
  • NPI 1699402214
  Medicare reassignment
• Pathology Services PC

  • Clinical Medical Laboratory
  • St George, UT
  • NPI 1255971198

  Anatomic Pathology & Clinical Pathology

  NPD
• Twin Cities Dermatopathology, LLC

  • Dermatopathology (Pathology) Physician
  • Plymouth, MN
  • NPI 1144223009
  NPD
• Nebraska Medical Center

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1386712925
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1265827893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-79",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Tulane Avenue SL-79",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70112",
            "country_code": "US",
            "telephone_number": "504-988-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CACEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AZ",
            "license": "67275",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "12888572-1235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12888572-1205",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL LICENSE",
            "identifier": "67275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Perry
• Personal Performance Medical Corporation
• Hadley Persons
• Faaosofia Pesaleli
• Nicholas Calvin Pete
• Jane Marie Peters
• Chantel Yauman Petersen, CSW
• Ciena Petersen
• Colby B Petersen
• Connor Petersen

• Anatomic Pathology & Clinical Pathology Physician in Saint George, UT
• Providers in Saint George, UT by specialty
• Anatomic Pathology & Clinical Pathology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.