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TIMOTHY D PETERSON MD
NPI 1528041886
Emergency Medicine in Taos Ski Valley, NM

Active since November 21, 2005PECOS Enrolled
108 SUTTON PLACE, TAOS SKI VALLEY, NM 87525(575) 766-8421(575) 776-8942 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy D Peterson Md NPPES

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

TIMOTHY D PETERSON MD (NPI 1528041886) is an individual emergency medicine provider in Taos Ski Valley, New Mexico, licensed in New Mexico (81-285) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528041886
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY D PETERSONCredential: MD
Location Address108 SUTTON PLACETaos Ski Valley, NM 87525-0067
Mailing AddressPo Box 67, 108 Sutton PlaceTaos Ski Valley, NM 87525-0067 · (575) 766-8421 · Fax (575) 776-8942
Phone(575) 766-8421
Fax(575) 776-8942
Sole ProprietorYes
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 12, 2016
✔ NPI 1528041886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NM · 81-285✔ Licensed in AK · 2528
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
108 SUTTON PLACE, Taos Ski Valley, NM 87525
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Other Identifiers 3

Medicaid33282NM
Medicare NSC1017580001NM
Medicare UPINE13820

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy D 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Timothy D Peterson, MD PC
0.3 mi
Urgent Care
5 FIREHOUSE RD
Taos Ski Valley, NM 87525
  • Reassigned Medicare billing, New Mexico enrollment
  • 13 clinicians in this Medicare group
NPI 1073818555 (575) 776-8421
Juneau Emergency Medical Associates, Inc.
1,995 mi
Emergency Medicine
3260 HOSPITAL DR
Juneau, AK 99801
  • Reassigned Medicare billing, Alaska enrollment
  • 34 clinicians in this Medicare group
NPI 1912393356 (877) 346-2211

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 87525 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Timothy Peterson's NPI number?

The NPI number for Timothy Peterson is 1528041886. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Timothy Peterson located?

Timothy Peterson practices at 108 Sutton Place, Taos Ski Valley, NM 87525. The listed phone number is (575) 766-8421.

What is Timothy Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Peterson enrolled in Medicare?

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

Which organizations bill Medicare for Timothy Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Peterson reassigns Medicare benefits to 2 organizations: Timothy D Peterson, MD PC (Taos Ski Valley, NM) and Juneau Emergency Medical Associates, Inc. (Juneau, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Timothy 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 Timothy Peterson was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.