BRANDON JOSEPH PETERSON
NPI 1427643592
Physician Assistant - Surgical in Fort Myers, FL

Active since March 01, 2021PECOS EnrolledAccepts Medicare Assignment
19831 ADAMS RD, FORT MYERS, FL 33908(630) 386-0023 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Mar 1, 2021 (2 updates tracked since 2021).

About Brandon Joseph Peterson NPPES

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

BRANDON JOSEPH PETERSON (NPI 1427643592) is an individual surgical provider in Fort Myers, Florida, licensed in Florida (PA9114114) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427643592
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRANDON JOSEPH PETERSON
Location Address19831 ADAMS RDFort Myers, FL 33908-4863
Mailing Address3210 Cleveland Ave, Ste 100Fort Myers, FL 33901-7182 · (239) 936-6778
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 1, 2021
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
NPI 1427643592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9114114
19831 ADAMS RD, Fort Myers, FL 33908

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

Brandon Joseph Peterson 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 ID6002223906
PECOS Enrollment IDI20210319001476
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

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

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 Brandon Peterson's NPI number?

The NPI number for Brandon Peterson is 1427643592. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Brandon Peterson located?

Brandon Peterson practices at 19831 Adams Rd, Fort Myers, FL 33908. The listed phone number is (630) 386-0023.

What is Brandon Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brandon Peterson enrolled in Medicare?

Yes. Brandon 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 Brandon Peterson affiliated with any hospitals?

According to CMS data, Brandon Peterson is affiliated with Lee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Peterson was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.