MR. JOE R PETERSON P.A.
NPI 1174802805
Physician Assistant in Madison, WI

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment
1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6161 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2020, May 19, 2020 (2 updates tracked since 2020).

About Mr. Joe R Peterson P.a. NPPES

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

MR. JOE R PETERSON P.A. (NPI 1174802805) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (2825-23) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174802805
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOE R PETERSONCredential: P.A.
Location Address1821 S STOUGHTON RDMadison, WI 53716-2257
Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000 · Fax (608) 260-6161
Fax(608) 260-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 11, 2011
Last NPPES UpdateNovember 11, 20202 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
NPI 1174802805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2825-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1821 S STOUGHTON RD, Madison, WI 53716

Other Identifiers 1

Medicaid1174802805WI

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

Mr. Joe R Peterson P.a. 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 ID9931370137
PECOS Enrollment IDI20110920000375
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 4

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.

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.
227 services218 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services53 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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
1821 S STOUGHTON RD
MADISON, WI 53716
Allergy & Immunology
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Dietitian, Registered
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Speech-Language Pathologist
1821 S STOUGHTON RD
MADISON, WI 53716
Emergency Medicine
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716

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 Joe Peterson's NPI number?

The NPI number for Joe Peterson is 1174802805. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Joe Peterson located?

Joe Peterson practices at 1821 S Stoughton Rd, Madison, WI 53716. The listed phone number is (608) 260-6000.

What is Joe Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joe Peterson enrolled in Medicare?

Yes. Joe 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 Joe Peterson affiliated with any hospitals?

According to CMS data, Joe Peterson is affiliated with Ssm Health St Mary's Hospital - Madison and Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for Joe Peterson was last updated on November 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.