TED STEVEN PETERSON APN
NPI 1275106254
Nurse Practitioner - Family in Rockford, IL

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
70.99/100
CMS Quality Rating
5875 EAST RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 398-9491 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Dec 1, 2021, Jul 19, 2021 (3 updates tracked since 2021).

About Ted Steven Peterson Apn NPPES

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

TED STEVEN PETERSON APN (NPI 1275106254) is an individual family provider in Rockford, Illinois, licensed in Illinois (209023474) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275106254
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTED STEVEN PETERSONCredential: APN
Location Address5875 EAST RIVERSIDE BLVDRockford, IL 61114
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 19, 2021
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1275106254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209023474
5875 EAST RIVERSIDE BLVD, Rockford, IL 61114

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

Ted Steven Peterson Apn 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 ID3476943317
PECOS Enrollment IDI20211208000315
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 15

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
1,775 services23 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
712 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
396 services315 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
141 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
93 services93 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
91 services88 patients

Hospital Affiliations CMS Care Compare 5

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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.

70.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61
Promoting Interoperability74
Improvement Activities40
Cost63.98

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier16 claims16 services$203.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ted Peterson's NPI number?

The NPI number for Ted Peterson is 1275106254. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Ted Peterson located?

Ted Peterson practices at 5875 East Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 398-9491.

What is Ted Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ted Peterson enrolled in Medicare?

Yes. Ted Peterson 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 Ted Peterson accept?

Health plans from Quartz list Ted 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.

Is Ted Peterson affiliated with any hospitals?

According to CMS data, Ted Peterson is affiliated with Katherine Shaw Bethea Hospital, Osf Saint Elizabeth Mdl Ctr, Uw Health, Saint Anthony Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Ted Peterson was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.