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ALAN C PETERSON M.D.
NPI 1477555225
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, IN

Active since August 11, 2005PECOS Enrolled
87.95/100
CMS Quality Rating
7910 W JEFFERSON BLVD, SUITE 102, FORT WAYNE, IN 46804(260) 432-2297(260) 434-6420 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alan C Peterson M.d. NPPES

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

ALAN C PETERSON M.D. (NPI 1477555225) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fort Wayne, Indiana, licensed in Indiana (01031812A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477555225
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameALAN C PETERSONCredential: M.D.
Location Address7910 W JEFFERSON BLVD, SUITE 102Fort Wayne, IN 46804-4159
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Phone(260) 432-2297
Fax(260) 434-6420
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1477555225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IN · 01031812A
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
7910 W JEFFERSON BLVD, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Identifiers 4

Other330005240IN · Rr Medicare
Medicaid2907251MI
Medicaid0518649OH
Medicaid100096130IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan C Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services21 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
27 services27 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.
27 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%78 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.

DR. AARON J SACKETT MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY
Neurological Surgery
7910 W JEFFERSON BLVD, SUITE 200
FORT WAYNE, IN 46804
Allen County (260) 436-2416
DR. MARY PAT VEERKAMP MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
BRUCE A. HOOK MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7910 W JEFFERSON BLVD, SUITE 102
FORT WAYNE, IN 46804
Allen County (260) 436-2424
DR. STEVEN J COHEN MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
DR. JENNIFER L LANDRIGAN MD
Pediatrics
7910 W JEFFERSON BLVD, STE 201
FORT WAYNE, IN 46804
Allen County (260) 436-3789
NORTHEAST INDIANA COLON RECTAL SURGEONS, P.C.
Colon & Rectal Surgery
7910 W JEFFERSON BLVD, SUITE 212
FORT WAYNE, IN 46804
Allen County (260) 489-8898
AYDIN T. KIZILISIK MD
Surgery
7910 W JEFFERSON BLVD, SUITE 200
FORT WAYNE, IN 46804
Allen County (260) 435-6275

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 Alan Peterson's NPI number?

The NPI number for Alan Peterson is 1477555225. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Alan Peterson located?

Alan Peterson practices at 7910 W Jefferson Blvd Suite 102, Fort Wayne, IN 46804. The listed phone number is (260) 432-2297.

What is Alan Peterson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Alan Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alan Peterson was last updated on September 29, 2020. 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.