DAVID R PETERSON M.D.
NPI 1194742718
Emergency Medicine in Springfield, IL

Q: What is David Peterson's NPI number?

The NPI number for David Peterson is 1194742718. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is David Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for David Peterson was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

800 E CARPENTER ST, SPRINGFIELD, IL 62769(217) 544-6464 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About David R Peterson M.d. NPPES

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

DAVID R PETERSON M.D. (NPI 1194742718) is an individual emergency medicine provider in Springfield, Illinois, licensed in Illinois (036107652) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hillsboro Area Hospital, and is a graduate of Southern Illinois University School Of Medicine (1998).

NPPES Registry Identity

NPI1194742718

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDAVID R PETERSONCredential: M.D.

Location Address800 E CARPENTER STSpringfield, IL 62769-0002

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(217) 544-6464

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1998

Enumeration DateJuly 17, 2006

Last NPPES UpdateDecember 6, 2019

✔ NPI 1194742718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036107652

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

800 E CARPENTER ST, Springfield, IL 62769

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Other Identifiers 1

Medicaid036107652IL

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

David R 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 ID1052204773

PECOS Enrollment IDI20040205001208

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

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

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141332

Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62769 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

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.

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