TIMOTHY D PETERSON, MD PC
NPI 1073818555
Clinic/Center - Urgent Care in Taos Ski Valley, NM
About Timothy D Peterson, Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY D PETERSON, MD PC (NPI 1073818555), doing business as Mogul Medical Urgent Care, is a healthcare organization registered as an urgent care in Taos Ski Valley, New Mexico and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Linda C Lynch, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy D Peterson, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Timothy D Peterson, MD PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
Albuquerque, NM 87131
Gallup, NM 87301
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D2020994
Timothy D Peterson Mdpc Dba Mogul Med Uc · Taos Ski Valley, NMFrequently 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 Timothy D Peterson, MD PC's NPI number?
The NPI number for Timothy D Peterson, MD PC is 1073818555. It was assigned to this organization in the NPPES registry on January 14, 2011. The provider is doing business as Mogul Medical Urgent Care.
Where is Timothy D Peterson, MD PC located?
Timothy D Peterson, MD PC is located at 5 Firehouse Rd, Taos Ski Valley, NM 87525. The listed phone number is (575) 776-8421.
What is Timothy D Peterson, MD PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Timothy D Peterson, MD PC enrolled in Medicare?
Yes. Timothy D Peterson, MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Timothy D Peterson, MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Timothy D Peterson, MD PC. A 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 the clinician's services. The largest specialties are Emergency Medicine (8), Family Practice (3) and Nurse Practitioner (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Timothy D Peterson, MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2020994) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Timothy D Peterson, MD PC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Timothy D Peterson, Md Pc · NPI 1073818555
Urgent Care organization in Taos Ski Valley, New Mexico. Organization record, active in the CMS NPPES registry since January 14, 2011.
## Identity
- **NPI:** 1073818555 (Entity type: Organization)
- **Enumerated:** January 14, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** Mogul Medical Urgent Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Linda Lynch, CLINICAL DIRECTOR
## Practice location
- **Address:** 5 FIREHOUSE RD, Taos Ski Valley, NM 87525
- **Phone:** (575) 776-8421 · **Fax:** (575) 776-8942
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (8), Family Practice (3), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073818555) · Data from the CMS NPPES public registry.