EVELENA COUSIN-PETERSON M.D.
NPI 1114360849
Surgery in Tampa, FL

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
12901 BRUCE B DOWNS BLVD, MDC 41, TAMPA, FL 33612(813) 844-7412(813) 974-8359 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evelena Cousin-peterson M.d. NPPES

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

EVELENA COUSIN-PETERSON M.D. (NPI 1114360849) is an individual surgery provider in Tampa, Florida, licensed in Florida (ME138727) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1114360849
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameEVELENA COUSIN-PETERSONCredential: M.D.
Location Address12901 BRUCE B DOWNS BLVD, MDC 41Tampa, FL 33612-4742
Mailing Address5520 Vintage View PassLakeland, FL 33812-4061
Fax(813) 974-8359
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 11, 2013
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1114360849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME138727
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

12901 BRUCE B DOWNS BLVD, Tampa, FL 33612

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

Evelena Cousin-peterson 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 ID8628562030
PECOS Enrollment IDI20251212002368
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.

Hospital Affiliations CMS Care Compare 2

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Urology
12901 BRUCE B DOWNS BLVD, MDC 41
TAMPA, FL 33612
Pediatrics (Pediatric Endocrinology)
12901 BRUCE B DOWNS BLVD, MDC 15
TAMPA, FL 33612
Obstetrics & Gynecology
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Psychiatry & Neurology (Psychiatry)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Specialist/Technologist (Athletic Trainer)
12901 BRUCE B DOWNS BLVD, MDC 77
TAMPA, FL 33612
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Dermatology
12901 BRUCE B DOWNS BLVD, MDC 79
TAMPA, FL 33612
Dietitian, Registered
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612

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 Evelena Cousin-peterson's NPI number?

The NPI number for Evelena Cousin-peterson is 1114360849. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Evelena Cousin-peterson located?

Evelena Cousin-peterson practices at 12901 Bruce B Downs Blvd Mdc 41, Tampa, FL 33612. The listed phone number is (813) 844-7412.

What is Evelena Cousin-peterson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Evelena Cousin-peterson enrolled in Medicare?

Yes. Evelena Cousin-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 Evelena Cousin-peterson affiliated with any hospitals?

According to CMS data, Evelena Cousin-peterson is affiliated with Bon Secours St Marys Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Evelena Cousin-peterson was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.