MARY KAY PETERSON MD
NPI 1508805656
Radiology - Diagnostic Radiology in Fort Myers, FL

Q: What is Mary Kay Peterson's NPI number?

The NPI number for Mary Kay Peterson is 1508805656. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Mary Kay Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kay Peterson was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 05, 2006PECOS Enrolled

3680 BROADWAY, FORT MYERS, FL 33901(239) 936-2316 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mary Kay Peterson Md NPPES

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

MARY KAY PETERSON MD (NPI 1508805656) is an individual diagnostic radiology provider in Fort Myers, Florida, licensed in Florida (ME77132) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508805656

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameMARY KAY PETERSONCredential: MD

Location Address3680 BROADWAYFort Myers, FL 33901-8005

Mailing Address3660 BroadwayFort Myers, FL 33901-8005 · (239) 936-2316

Phone(239) 936-2316

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateMay 29, 2008

✔ NPI 1508805656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in FL · ME77132

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3680 BROADWAY, Fort Myers, FL 33901

Open in Google Maps ↗

Other Identifiers 8

Other7405122Aetna Ppo

Medicaid257739900FL

Other46568Bcbs

Medicare PIN300112784

Medicare UPING96077

Medicare PIN46568AFL

Other2439859Aetna Hmo

OtherME77132FL · Florida License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Kay Peterson Md 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 33901 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 20

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

VICTOR H GREGORY DO

Radiology (Diagnostic Radiology)