Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEVIN PETERSON MD
NPI 1275294811
Radiology - Diagnostic Radiology in Springfield, IL

Active since January 05, 2022PECOS Enrolled
800 E. CARPENTER ST, BOX 43, SPRINGFIELD, IL 62769(217) 814-5178(217) 757-6458 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Jan 5, 2022 (2 updates tracked since 2022).

About Devin Peterson Md NPPES

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

DEVIN PETERSON MD (NPI 1275294811) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (125086126) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275294811
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDEVIN PETERSONCredential: MD
Location Address800 E. CARPENTER ST, BOX 43Springfield, IL 62769
Mailing AddressPo Box 19636Springfield, IL 62794-9636 · (217) 545-8000
Fax(217) 757-6458
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJune 20, 20262 updates tracked since enumeration
NPPES CertifiedJune 20, 2026
NPI 1275294811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 125086126
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
800 E. CARPENTER ST, BOX 43, Springfield, IL 62769

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Devin 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62769 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Devin Peterson's NPI number?

The NPI number for Devin Peterson is 1275294811. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Devin Peterson located?

Devin Peterson practices at 800 E. Carpenter St, Box 43, Springfield, IL 62769. The listed phone number is (217) 814-5178.

What is Devin Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Devin Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Devin Peterson was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.