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

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: July 26, 2026.

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
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

Medicare Participation & PECOS CMS

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

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.

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.

Surgery
5354 REYNOLDS ST STE 202
SAVANNAH, GA 31405
Surgery
5354 REYNOLDS ST STE 202
SAVANNAH, GA 31405
Surgery
5354 REYNOLDS ST STE 202
SAVANNAH, GA 31405
Surgery
5354 REYNOLDS ST STE 202
SAVANNAH, GA 31405
Surgery
5354 REYNOLDS ST STE 202
SAVANNAH, GA 31405
Surgery
5354 REYNOLDS ST STE 202
SAVANNAH, GA 31405
Surgery
5354 REYNOLDS ST STE 202
SAVANNAH, GA 31405

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 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.

Where is Katherine Petersen located?

Katherine Petersen practices at 5354 Reynolds St Ste 202, Savannah, GA 31405. The listed phone number is (912) 352-0920.

What is Katherine Petersen's specialty?

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

Is Katherine Petersen enrolled in Medicare?

Yes. Katherine Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Petersen was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.