DR. PAUL LEWIS PETERSEN MD
NPI 1255437109
Emergency Medicine in Miami, FL

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
3663 S MIAMI AVE, MIAMI, FL 33133(305) 665-4614(305) 667-0239 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Lewis Petersen Md NPPES

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

DR. PAUL LEWIS PETERSEN MD (NPI 1255437109) is an individual emergency medicine provider in Miami, Florida, licensed in Florida (ME82450) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255437109
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL LEWIS PETERSENCredential: MD
Location Address3663 S MIAMI AVEMiami, FL 33133-4253
Mailing Address5901 Sw 74th St, Suite 202Miami, FL 33143-5165 · (305) 665-4614 · Fax (305) 667-0239
Fax(305) 667-0239
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1997
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 8, 2019
NPI 1255437109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME82450
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.

3663 S MIAMI AVE, Miami, FL 33133

Secondary Practice Locations 3

Location 14300 Alton RdMiami Beach, FL 33140-2948 · Phone (305) 481-9776 · Fax (305) 674-2007
Location 26050 W 20th AveHialeah, FL 33016-2605 · Phone (786) 584-5000 · Fax (786) 584-5112
Location 32845 Aventura BlvdAventura, FL 33180-3118 · Phone (305) 692-1000

Other Identifiers 2

Medicaid262547400FL
Other03222FL · Bcbs

Accepted Insurance

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

Dr. Paul Lewis Petersen Md 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 ID1658358676
PECOS Enrollment IDI20040707000551
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
364 services350 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
120 services116 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
89 services88 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Hospital

Acute Care Hospitals · Weston, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100289
Location3100 Weston RdWeston, FL 33331 · Broward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Vascular & Interventional Radiology)
3663 S MIAMI AVE
MIAMI, FL 33133
Nurse Practitioner (Family)
3663 S MIAMI AVE
MIAMI, FL 33133
Internal Medicine (Pulmonary Disease)
3663 S MIAMI AVE, STE 3325
MIAMI, FL 33133
General Acute Care Hospital
3663 S MIAMI AVE
MIAMI, FL 33133
Anesthesiology
3663 S MIAMI AVE
MIAMI, FL 33133
Emergency Medicine
3663 S MIAMI AVE
MIAMI, FL 33133
Anesthesiology
3663 S MIAMI AVE
MIAMI, FL 33133
Emergency Medicine
3663 S MIAMI AVE, MEDICAL STAFF OFFICE
MIAMI, FL 33133

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 Paul Petersen's NPI number?

The NPI number for Paul Petersen is 1255437109. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Paul Petersen located?

Paul Petersen practices at 3663 S Miami Ave, Miami, FL 33133. The listed phone number is (305) 665-4614.

What is Paul Petersen's specialty?

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

Is Paul Petersen enrolled in Medicare?

Yes. Paul Petersen 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.

What insurance does Paul Petersen accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Paul Petersen 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.

Is Paul Petersen affiliated with any hospitals?

According to CMS data, Paul Petersen is affiliated with Cleveland Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Paul Petersen was last updated on August 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.