DR. KATHERINE A PETERSEN M.D.
NPI 1508170457
Surgery in Savannah, GA

Q: What is Katherine Petersen's NPI number?

The NPI number for Katherine Petersen is 1508170457. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Q: What is Katherine Petersen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 03, 2010PECOS Enrolled

5354 REYNOLDS ST STE 202, SAVANNAH, GA 31405(912) 352-0920 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Katherine A Petersen M.d. NPPES

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

DR. KATHERINE A PETERSEN M.D. (NPI 1508170457) is an individual surgery provider in Savannah, Georgia, licensed in Georgia (82882) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508170457

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KATHERINE A PETERSENCredential: M.D.

Location Address5354 REYNOLDS ST STE 202Savannah, GA 31405-6009

Mailing AddressPo Box 919Rincon, GA 31326-0919 · (912) 352-0920

Phone(912) 352-0920

Sole ProprietorNo

Enumeration DateAugust 3, 2010

Last NPPES UpdateDecember 10, 2020

NPPES CertifiedDecember 10, 2020

✔ NPI 1508170457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 82882

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 48313 (KY)

5354 REYNOLDS ST STE 202, Savannah, GA 31405

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine A Petersen 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metro Surgical, PC

18 mi

Surgery

594 S COLUMBIA AVE, SUITE 100
Rincon, GA 31326

Reassigned Medicare billing, Georgia enrollment
20 clinicians in this Medicare group

NPI 1902823024 (912) 826-4057

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 7

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

KEIDE KERRICK AKINOLA MD

Surgery