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FREDERICK PETERSON MD
NPI 1215913165
Family Medicine in Palm Bay, FL

Active since December 21, 2005PECOS Enrolled
6100 MINTON RD NW, STE104, PALM BAY, FL 32907(321) 724-1172(321) 724-9024 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Frederick Peterson Md NPPES

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

FREDERICK PETERSON MD (NPI 1215913165) is an individual family medicine provider in Palm Bay, Florida, licensed in Florida (ME32196) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1215913165
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFREDERICK PETERSONCredential: MD
Location Address6100 MINTON RD NW, STE104Palm Bay, FL 32907-1975
Mailing Address6100 Minton Rd Nw, Ste104Palm Bay, FL 32907-1975 · (321) 724-1172 · Fax (321) 724-9024
Phone(321) 724-1172
Fax(321) 724-9024
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1215913165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME32196
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6100 MINTON RD NW, Palm Bay, FL 32907
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Secondary Practice Location 1

Location 14450 W Eau Gallie Blvd Ste 250Melbourne, FL 32934-7215 · Phone (877) 868-4827

Other Identifiers 7

Other080185086FL · Railroad Medicare
Other2049145010FL · Cigna
Other62193FL · Blue Cross Blue Shield
Other2830929FL · Aetna
Other200859FL · Wellcare
Medicaid038494100FL
Other5840654FL · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Frederick Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitas Solutions Inc
142 mi
Hospice and Palliative Medicine
3170 EXECUTIVE WAY
Miramar, FL 33025
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
NPI 1861666497 (877) 868-4827

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32907 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREDY E DELACRUZ MD
Urology
6100 MINTON RD NW, STE 101
PALM BAY, FL 32907
Brevard County (321) 722-1984
MUHAMMAD IRFAN ASLAM MD
Internal Medicine (Cardiovascular Disease)
6100 MINTON RD NW, SUITE 103B
PALM BAY, FL 32907
Brevard County (321) 308-5111
DR. PETER WILLIAM TARASCHI DO
Family Medicine
6100 MINTON RD NW, STE 102
PALM BAY, FL 32907
Brevard County (321) 724-1171
MS. JODI LARSEN ARNP
Nurse Practitioner (Family)
6100 MINTON RD NW, STE 102
PALM BAY, FL 32907
Brevard County (321) 724-1171

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 Frederick Peterson's NPI number?

The NPI number for Frederick Peterson is 1215913165. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Frederick Peterson located?

Frederick Peterson practices at 6100 Minton Rd NW Ste104, Palm Bay, FL 32907. The listed phone number is (321) 724-1172.

What is Frederick Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Frederick Peterson enrolled in Medicare?

Yes. Frederick Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Frederick Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Peterson reassigns Medicare benefits to Vitas Solutions Inc (Miramar, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frederick Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frederick Peterson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Frederick 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.

When was this NPI record last updated?

The NPPES record for Frederick Peterson was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.