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DR. KERI L PETERSON MD
NPI 1336119866
Internal Medicine in New York, NY

Active since January 26, 2006PECOS EnrolledCLIA 33D2114969 · Waiver
115 E 57TH ST STE 510, NEW YORK, NY 10022(212) 583-2962(212) 744-4072 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 9, 2019 (2 updates tracked since 2019).

About Dr. Keri L Peterson Md NPPES

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

DR. KERI L PETERSON MD (NPI 1336119866) is an individual internal medicine provider in New York, New York, licensed in New York (207072) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 23, 2028, and is a graduate of Icahn School Of Medicine At Mount Sinai (1996).

NPPES Registry Identity

NPI1336119866
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KERI L PETERSONCredential: MD
Location Address115 E 57TH ST STE 510New York, NY 10022-2221
Mailing Address115 E 57th St Ste 510New York, NY 10022-2221 · (212) 583-2962 · Fax (212) 744-4072
Phone(212) 583-2962
Fax(212) 744-4072
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1996
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1336119866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 207072
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 E 57TH ST STE 510, New York, NY 10022
Open in Google Maps ↗

Other Identifiers 2

Other207072NY · License
Medicaid02132305NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keri L Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062492010
PECOS Enrollment IDI20040721001121
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2114969

Keri Peterson, MD PC · New York, NY
Active · expires Jun 23, 2028
CLIA Number33D2114969
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDr. Keri L. Peterson
Laboratory Phone(212) 583-2962
Laboratory LocationKeri Peterson, MD PC150 East 58th Street, 4th Floorannex, New York, NY 10155
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

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.
75 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
67 services53 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
48 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GALLERIA MEDICAL ASSOCIATES PLLC
Anesthesiology
115 E 57TH ST STE 510
NEW YORK, NY 10022
New York County (718) 222-5999
DR. PETER KINGCHI HON MD
Surgery
115 E 57TH ST STE 510
NEW YORK, NY 10022
New York County (212) 888-5932

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 Keri Peterson's NPI number?

The NPI number for Keri Peterson is 1336119866. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Keri Peterson located?

Keri Peterson practices at 115 E 57th St Ste 510, New York, NY 10022. The listed phone number is (212) 583-2962.

What is Keri Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keri Peterson enrolled in Medicare?

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

Does Keri Peterson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2114969) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keri Peterson was last updated on March 7, 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.