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DR. GREGORY WAYNE PETERSBURG D.O.
NPI 1225167281
Family Medicine - Adult Medicine in Oro Valley, AZ

Active since March 05, 2007Opted out of Medicare · through Nov 3, 2026
10371 N ORACLE RD, SUITE 205, ORO VALLEY, AZ 85737(520) 229-1900(520) 742-2900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory Wayne Petersburg D.o. NPPES

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

DR. GREGORY WAYNE PETERSBURG D.O. (NPI 1225167281) is an individual adult medicine provider in Oro Valley, Arizona, licensed in Arizona (3714) and active in the NPI registry since March 2007. He has opted out of Medicare through November 3, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225167281
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. GREGORY WAYNE PETERSBURGCredential: D.O.
Location Address10371 N ORACLE RD, SUITE 205Oro Valley, AZ 85737-9392
Mailing Address10371 N Oracle Rd, Suite 205Oro Valley, AZ 85737-9392 · (520) 229-1900 · Fax (520) 742-2900
Phone(520) 229-1900
Fax(520) 742-2900
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225167281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AZ · 3714
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
10371 N ORACLE RD, Oro Valley, AZ 85737
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified79567AZ · State Provider Number
Medicare UPINE27270AZ
Other3714AZ · Az Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gregory Wayne Petersburg D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 3, 2014 through November 3, 2026.

Opt-Out Effective DateNovember 3, 2014
Opt-Out In Effect ThroughNovember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85737 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

DR. RANDALL W FEHR MD
Psychiatry & Neurology (Psychiatry)
10371 N ORACLE RD, SUITE 204
ORO VALLEY, AZ 85737
Pima County (520) 877-3336
MS. TERESA MARY SIMMONS OTR L
Occupational Therapist
10371 N ORACLE RD, SUITE #105 INTREPID USA
ORO VALLEY, AZ 85737
Pima County (520) 742-0272
RANDALL FEHR MD PLLC
Psychiatry & Neurology (Psychiatry)
10371 N ORACLE RD, SUITE 204
ORO VALLEY, AZ 85737
Pima County (520) 877-3336
DR. IVO B SOKOL DDS
Dentist
10371 N ORACLE RD, SUITE 101
TUCSON, AZ 85737
Pima County (520) 575-4084
BLUEMOON ACUPUNCTURE AND WELLNESS CENTER
Acupuncturist
10371 N ORACLE RD, SUITE 101A
ORO VALLEY, AZ 85737
Pima County (520) 505-1442

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 Gregory Petersburg's NPI number?

The NPI number for Gregory Petersburg is 1225167281. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Gregory Petersburg located?

Gregory Petersburg practices at 10371 N Oracle Rd Suite 205, Oro Valley, AZ 85737. The listed phone number is (520) 229-1900.

What is Gregory Petersburg's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Gregory Petersburg enrolled in Medicare?

No. Gregory Petersburg has opted out of Medicare through November 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gregory Petersburg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.