DR. BRIAN WOODFORD PETERSEN M.D.
NPI 1093070179
Dermatology in Denver, CO

Active since July 05, 2012PECOS EnrolledAccepts Medicare Assignment
1375 E 20TH AVE, DENVER, CO 80205(303) 338-4545 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, Jul 21, 2022, Apr 9, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Brian Woodford Petersen M.d. NPPES

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

DR. BRIAN WOODFORD PETERSEN M.D. (NPI 1093070179) is an individual dermatology provider in Denver, Colorado, licensed in Colorado (DR.0058571) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Colorado School Of Medicine, Denver (2012).

NPPES Registry Identity

NPI1093070179
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. BRIAN WOODFORD PETERSENCredential: M.D.
Location Address1375 E 20TH AVEDenver, CO 80205-5422
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2012
Enumeration DateJuly 5, 2012
Last NPPES UpdateSeptember 6, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
NPI 1093070179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in CO · DR.0058571 Licensed in RI · LP02769
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1375 E 20TH AVE, Denver, CO 80205

Secondary Practice Location 1

Location 12045 N Franklin StDenver, CO 80205-5437 · Phone (303) 338-4545

Other Identifiers 1

Other028287CO · Kaiser Commercial Number

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

Dr. Brian Woodford Petersen M.d. 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 ID3870710304
PECOS Enrollment IDI20171020001288
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80205 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Licensed Practical Nurse
1375 E 20TH AVE
DENVER, CO 80205
Clinic/Center (Primary Care)
1375 E 20TH AVE, KAISER PULMONARY
DENVER, CO 80205
Registered Nurse
1375 E 20TH AVE
DENVER, CO 80205
Physical Therapist
1375 E 20TH AVE
DENVER, CO 80205
Internal Medicine (Pulmonary Disease)
1375 E 20TH AVE
DENVER, CO 80205
Internal Medicine
1375 E 20TH AVE
DENVER, CO 80205
Internal Medicine (Pulmonary Disease)
1375 E 20TH AVE
DENVER, CO 80205
Physical Therapist
1375 E 20TH AVE
DENVER, CO 80205

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 Brian Petersen's NPI number?

The NPI number for Brian Petersen is 1093070179. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Brian Petersen located?

Brian Petersen practices at 1375 E 20th Ave, Denver, CO 80205. The listed phone number is (303) 338-4545.

What is Brian Petersen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Brian Petersen enrolled in Medicare?

Yes. Brian Petersen 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.

When was this NPI record last updated?

The NPPES record for Brian Petersen was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.