JAMES D PETERSEN MD
NPI 1437724432
Family Medicine in Pocatello, ID

Q: What is James Petersen's NPI number?

The NPI number for James Petersen is 1437724432. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Q: What is James Petersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Petersen was last updated on May 24, 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.

Active since May 21, 2021PECOS EnrolledAccepts Medicare Assignment

465 MEMORIAL DR, POCATELLO, ID 83201(208) 234-4700 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 24, 2021, May 21, 2021 (2 updates tracked since 2021).

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About James D Petersen Md NPPES

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

JAMES D PETERSEN MD (NPI 1437724432) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (MRM-2027) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1437724432

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES D PETERSENCredential: MD

Location Address465 MEMORIAL DRPocatello, ID 83201-4008

Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880

Phone(208) 234-4700

Sole ProprietorYes

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021

Enumeration DateMay 21, 2021

Last NPPES UpdateMay 24, 20212 updates tracked since enumeration

NPPES CertifiedMay 24, 2021

✔ NPI 1437724432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · MRM-2027

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

465 MEMORIAL DR, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

James D Petersen Md 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 ID3173925021

PECOS Enrollment IDI20230124000710

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.

Hospital Affiliations CMS Care Compare 5

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130003

Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County

Emergency services Birthing friendly

Steele Memorial Medical Center

Critical Access Hospitals · Salmon, ID

OwnershipGovernment - Local

CMS Certification Number131305

LocationP O Box 700Salmon, ID 83467 · Lemhi County

Emergency services

Syringa General Hospital

Critical Access Hospitals · Grangeville, ID

OwnershipGovernment - Hospital District or Authority

CMS Certification Number131315

Location607 W Main StreetGrangeville, ID 83530 · Idaho County

Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131321

Location701 Lewiston StCottonwood, ID 83522 · Idaho County

Emergency services

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number501332

Location1221 Highland AvenueClarkston, WA 99403 · Asotin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Reported Quality Measures

Cervical Cancer Screening

46%24 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

86%36 patients4/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

98%130 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

72%54 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

30%92 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 55 patients

Patients screened: 96% · 55 patients

100%23 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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