ADAM PETERSON M.D.
NPI 1033539937
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sioux Falls, SD

Active since April 18, 2014PECOS Enrolled
4500 N LEWIS AVE, SIOUX FALLS, SD 57104(605) 322-6368 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Adam Peterson M.d. NPPES

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

ADAM PETERSON M.D. (NPI 1033539937) is an individual child & adolescent psychiatry provider in Sioux Falls, South Dakota, licensed in South Dakota (11710) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033539937
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameADAM PETERSONCredential: M.D.
Location Address4500 N LEWIS AVESioux Falls, SD 57104-7111
Mailing Address1900 E Briar Den CtSioux Falls, SD 57108-5112 · (605) 940-1450
Sole ProprietorNo
Enumeration DateApril 18, 2014
Last NPPES UpdateNovember 7, 2019
✔ NPI 1033539937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in SD · 11710
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
4500 N LEWIS AVE, Sioux Falls, SD 57104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Adam Peterson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
225 BLUFF ST
Winnebago, NE 68071
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
Clinic/Center
100 LAKE TRAVERSE DRIVE
Sisseton, SD 57262
  • Reassigned Medicare billing, Texas enrollment
  • 50 clinicians in this Medicare group
Clinic/Center
601 GALL STREET
Lower Brule, SD 57548
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Critical Access
10 NORTH RIVER ROAD
Fort Yates, ND 58538
  • Reassigned Medicare billing, Texas enrollment
  • 71 clinicians in this Medicare group
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
Public Health, Federal
29 BLACK COAL DR
Fort Washakie, WY 82514
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Nurse Practitioner (Psychiatric/Mental Health)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Social Worker
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Registered Nurse
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Specialist
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Physician Assistant
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Nurse Practitioner (Psychiatric/Mental Health)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Psychiatry)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104

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 Adam Peterson's NPI number?

The NPI number for Adam Peterson is 1033539937. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Adam Peterson located?

Adam Peterson practices at 4500 N Lewis Ave, Sioux Falls, SD 57104. The listed phone number is (605) 322-6368.

What is Adam Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Adam Peterson enrolled in Medicare?

Yes. Adam Peterson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Peterson reassigns Medicare benefits to 7 organizations: Winnebago Tribe Of Nebraska (Winnebago, NE), Woodrow Wilson Keeble Memorial Health Care Center (Sisseton, SD), Lower Brule Health Center Ihs (Lower Brule, SD), Rosebud Indian Health Service (Rosebud, SD), Fort Yates Indian Health Service Hospital (Fort Yates, ND) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Peterson accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company and Sanford Health Plan and 1 other insurer list Adam Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adam Peterson was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.