ERIC PETERSEN MD
NPI 1255727863
Surgery - Trauma Surgery in Phoenix, AZ

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 521-5968(602) 521-5988 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Petersen Md NPPES

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

ERIC PETERSEN MD (NPI 1255727863) is an individual trauma surgery provider in Phoenix, Arizona, licensed in Arizona (70554) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2015).

NPPES Registry Identity

NPI1255727863
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameERIC PETERSENCredential: MD
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing AddressTrauma And Emergency Surgery Service 1111 E Mcdowell RdPhoenix, AZ 85006-2612 · (602) 839-3644
Fax(602) 521-5988
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateJuly 24, 2023
NPPES CertifiedJune 24, 2023
NPI 1255727863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in AZ · 70554
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 70554 (AZ)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 70554 (AZ)
1111 E MCDOWELL RD, Phoenix, AZ 85006

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

Eric 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 ID9830550755
PECOS Enrollment IDI20230725002030
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services19 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.
26 services13 patients
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.
12 services12 patients

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.

Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006

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 Eric Petersen's NPI number?

The NPI number for Eric Petersen is 1255727863. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Eric Petersen located?

Eric Petersen practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 521-5968.

What is Eric Petersen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Eric Petersen enrolled in Medicare?

Yes. Eric 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.

When was this NPI record last updated?

The NPPES record for Eric Petersen was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.