DR. CARL ROY PETERSON III M.D., M.S.
NPI 1114151230
Radiology - Radiation Oncology in Boardman, OH

Q: What is Carl Peterson's NPI number?

The NPI number for Carl Peterson is 1114151230. It was assigned to this individual provider in the NPPES registry on May 4, 2009.

Q: What is Carl Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Carl Peterson was last updated on December 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2009PECOS EnrolledAccepts Medicare Assignment

8401 MARKET ST, BOARDMAN, OH 44512(330) 629-7500(330) 629-7504 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2016, Oct 2, 2015 (2 updates tracked since 2015).

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About Dr. Carl Roy Peterson Iii M.d., M.s. NPPES

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

DR. CARL ROY PETERSON III M.D., M.S. (NPI 1114151230) is an individual radiation oncology provider in Boardman, Ohio, licensed in Ohio (35.123850) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2009).

NPPES Registry Identity

NPI1114151230

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. CARL ROY PETERSON IIICredential: M.D., M.S.

Location Address8401 MARKET STBoardman, OH 44512-6725

Mailing Address8401 Market StBoardman, OH 44512-6725 · (330) 629-7500 · Fax (330) 629-7503

Phone(330) 629-7500

Fax(330) 629-7504

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2009

Enumeration DateMay 4, 2009

Last NPPES UpdateDecember 29, 20162 updates tracked since enumeration

✔ NPI 1114151230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Licenses✔ Licensed in OH · 35.123850✔ Licensed in OH · 35.091496

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

8401 MARKET ST, Boardman, OH 44512

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Other Identifiers 1

Medicaid0107099OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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. Carl Roy Peterson Iii M.d., M.s. 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 ID2062639016

PECOS Enrollment IDI20140814001662

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 18

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

847 services55 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

231 services93 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

180 services66 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

173 services91 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

86 services86 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

83 services80 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

76 services70 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

75 services70 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

56 services54 patients

Obtaining respiratory data needed to develop the optimal radiation treatment 77293

Obtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.

37 services35 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

27 services27 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

25 services23 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

24 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services20 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

18 services18 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services11 patients

Complex radiation therapy planning for delivery of external radiation 77307

Complex radiation therapy planning involves creating a detailed plan to deliver targeted radiation doses. The process includes imaging scans to identify the area needing treatment, and designing a specific radiation plan to protect healthy tissue while effectively treating the disease.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360161

Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH

5/5 CMS rating

OwnershipProprietary

CMS Certification Number360352

Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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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.

MRS. JESSICA HARRIMAN AUSTIN DO

Internal Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4298

DR. JEROME CHELLIAH MD, MPH

Obstetrics & Gynecology

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4350

SHREY PATEL DO

Emergency Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-7960

BENJAMIN MINER

Emergency Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-8757

DR. JEANINE AWAD-SPIRTOS M.D.

Emergency Medicine

8401 MARKET ST
YOUNGSTOWN, OH 44512

Mahoning County (330) 729-2929

ANTONIUS SUSATYO HADI MD

Obstetrics & Gynecology

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4350

ROBERT KOLLER DO

Family Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4298

MISS AMBER HUNKUS APRN

Nurse Practitioner (Family)

8401 MARKET ST
YOUNGSTOWN, OH 44512

Mahoning County (330) 729-4298

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 Carl Peterson's NPI number?

The NPI number for Carl Peterson is 1114151230. It was assigned to this individual provider in the NPPES registry on May 4, 2009.

Where is Carl Peterson located?

Carl Peterson practices at 8401 Market St, Boardman, OH 44512. The listed phone number is (330) 629-7500.

What is Carl Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Carl Peterson enrolled in Medicare?

Yes. Carl 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.

What insurance does Carl Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and SummaCare and 1 other insurer list Carl 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.

Is Carl Peterson affiliated with any hospitals?

According to CMS data, Carl Peterson is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Cleveland Clinic, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Carl Peterson was last updated on December 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.