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MARK PETERSON
NPI 1477043842
Psychiatry & Neurology - Psychiatry in Scott Depot, WV

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
111 GREAT TEAYS BLVD STE 101, SCOTT DEPOT, WV 25560(304) 757-8803(304) 757-6904 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2023, Jun 21, 2023, Sep 8, 2022 and 1 more (4 updates tracked since 2018).

About Mark Peterson NPPES

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

MARK PETERSON (NPI 1477043842) is an individual psychiatry provider in Scott Depot, West Virginia, licensed in West Virginia (30925) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477043842
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK PETERSON
Location Address111 GREAT TEAYS BLVD STE 101Scott Depot, WV 25560-9548
Mailing AddressPo Box 1680Huntington, WV 25717-1680 · (304) 781-5159 · Fax (304) 523-8115
Phone(304) 757-8803
Fax(304) 757-6904
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 11, 2018
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1477043842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WV · 30925
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 30925 (WV)
111 GREAT TEAYS BLVD STE 101, Scott Depot, WV 25560
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11347 Hillview DrMilton, WV 25541-1513 · Phone (304) 743-1407 · Fax (304) 743-4516
Location 25636 US Route 60 Ste 1BHuntington, WV 25705-2189 · Phone (304) 781-5108 · Fax (304) 399-3372
Location 31115 20th St Ste 205Huntington, WV 25703-2071 · Phone (304) 691-1100
Location 43729 Teays Valley Rd Ste 100Hurricane, WV 25526-9705 · Phone (304) 760-6040 · Fax (304) 760-6042
Location 52585 3rd AveHuntington, WV 25703-1642 · Phone (304) 781-5138 · Fax (304) 781-5139
Location 685 Donohoe DrHuntington, WV 25705-8887 · Phone (304) 399-3310 · Fax (304) 523-5416

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, 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

Mark 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 ID1557740883
PECOS Enrollment IDI20220616002270
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 25560 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 2

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

MS. ANN M. LAMBERNEDIS M.D,
Pediatrics (Adolescent Medicine)
111 GREAT TEAYS BLVD STE 101
SCOTT DEPOT, WV 25560
Putnam County (304) 757-8803
DR. RYAN R CICENAS MD
Internal Medicine
111 GREAT TEAYS BLVD STE 101
SCOTT DEPOT, WV 25560
Putnam County (304) 757-8803

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 Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1477043842. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Mark Peterson located?

Mark Peterson practices at 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560. The listed phone number is (304) 757-8803.

What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Peterson enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Peterson accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Mark Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.