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MATTHEW R PETERSON PA
NPI 1285745711
Physician Assistant in Saint Louis, MO

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(314) 525-1911 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew R Peterson Pa NPPES

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

MATTHEW R PETERSON PA (NPI 1285745711) is an individual physician assistant in Saint Louis, Missouri, licensed in Illinois (85-002763) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1285745711
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW R PETERSONCredential: PA
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing Address102 Del Rio CtBelleville, IL 62221-3181 · (847) 691-3958
Phone(314) 525-1911
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 15, 2019
✔ NPI 1285745711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 85-002763✔ Licensed in MO · 2008025807
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 085-002763 (IL)
10010 KENNERLY RD, Saint Louis, MO 63128
Open in Google Maps ↗

Other Identifiers 1

Other1072542Physician Assistant Certi

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

Matthew R Peterson Pa 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 ID9830196070
PECOS Enrollment IDI20061031000276
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 4

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.
103 services100 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.
73 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

JEREMY STEPHEN COLYER AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 386-7222
REHABILITATION MEDICINE SPECIALISTS, INC.
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4522
DR. MICHAEL D. BAZZANI M.D.
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1165
DR. YUNHONG ZHANG MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000
REBECCA SUSAN HOPKINS R.D., L.D.
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1266
MRS. CASSANDRA ASHLEY STROTHKAMP NP-C
Nurse Practitioner (Family)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1900
RAHUL GUPTA MD
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1906
YIFU F ZHU AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000

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 Matthew Peterson's NPI number?

The NPI number for Matthew Peterson is 1285745711. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Matthew Peterson located?

Matthew Peterson practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1911.

What is Matthew Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Peterson enrolled in Medicare?

Yes. Matthew 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.

Is Matthew Peterson affiliated with any hospitals?

According to CMS data, Matthew Peterson is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Peterson was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.