MR. LARS E PETERSON MD
NPI 1023110640
Internal Medicine in Laramie, WY

Active since September 03, 2006PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
255 N 30TH ST, LARAMIE, WY 82072(307) 742-2141 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Lars E Peterson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARS E PETERSON MD (NPI 1023110640) is an individual internal medicine provider in Laramie, Wyoming, licensed in Wyoming (6962A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ivinson Memorial Hospital, and is a graduate of Creighton University School Of Medicine (2000).

NPPES Registry Identity

NPI1023110640
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. LARS E PETERSONCredential: MD
Location Address255 N 30TH STLaramie, WY 82072-5140
Mailing Address320 S 7th StLaramie, WY 82070-3822 · (307) 399-2883
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2000
Enumeration DateSeptember 3, 2006
Last NPPES UpdateOctober 31, 2012
NPI 1023110640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WY · 6962A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
255 N 30TH ST, Laramie, WY 82072

Other Identifiers 4

Medicare UPINI00959
Medicare ID-Type Unspecified9916WY
Medicaid119117900WY
Medicare PINW24571WY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Lars E Peterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648162321
PECOS Enrollment IDI20040326001211
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
373 services305 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
191 services132 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
82 services77 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ivinson Memorial Hospital

Acute Care Hospitals · Laramie, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530025
Location255 N 30thLaramie, WY 82072 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82072 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.87
Promoting Interoperability100
Improvement Activities40
Cost69.81

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers15 claims15 services$119.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
255 N 30TH ST
LARAMIE, WY 82072
Family Medicine
255 N 30TH ST
LARAMIE, WY 82072
Pathology (Anatomic Pathology & Clinical Pathology)
255 N 30TH ST
LARAMIE, WY 82072
Specialist
255 N 30TH ST
LARAMIE, WY 82072
General Acute Care Hospital (Rural)
255 N 30TH ST
LARAMIE, WY 82072
Registered Nurse (Registered Nurse First Assistant)
255 N 30TH ST
LARAMIE, WY 82072
Pediatrics
255 N 30TH ST
LARAMIE, WY 82072
Dietitian, Registered
255 N 30TH ST
LARAMIE, WY 82072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lars Peterson's NPI number?

The NPI number for Lars Peterson is 1023110640. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is Lars Peterson located?

Lars Peterson practices at 255 N 30th St, Laramie, WY 82072. The listed phone number is (307) 742-2141.

What is Lars Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lars Peterson enrolled in Medicare?

Yes. Lars Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lars Peterson affiliated with any hospitals?

According to CMS data, Lars Peterson is affiliated with Ivinson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lars Peterson was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.