DR. DANIEL S PETERSEN MD
NPI 1578049763
Family Medicine - Sleep Medicine in Fitchburg, WI
NPI Status: Active since July 11, 2018
Contact Information
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
Phone: (608) 229-7979
Fax: (608) 229-8110
- Individual
- Male
- Years of Experience 9
- Family Medicine
- Sleep Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DANIEL PETERSEN
This page provides the complete NPI Profile along with additional information for Daniel Petersen, a provider established in Fitchburg, Wisconsin with a medical specialization in Family Medicine, focusing in sleep medicine and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1578049763 assigned on July 2018. The practitioner's primary taxonomy code is 207QS1201X with license number 77190-20 (WI). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1578049763
- Provider Name
- DR. DANIEL S PETERSEN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2844 INDEX RD FITCHBURG, WI 53713
- Location Phone
- (608) 229-7979
- Location Fax
- (608) 229-8110
- Mailing Address
- 2844 INDEX RD FITCHBURG, WI 53713
- Mailing Phone
- (608) 229-7979
- Mailing Fax
- (608) 229-8110
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2018
- Last Update Date
- 08-03-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sleep Medicine
- Taxonomy Code
- 207QS1201X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 77190-20
- License State
- WI
- Taxonomy Description
- A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 125.073406 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Dean Focus Gold Standard - EPO
- Dean Focus Silver $0 Copay PCP Visits - EPO
- Dean Focus Silver Share - EPO
- Dean Focus Silver Standard - EPO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
1578049763 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Daniel Petersen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Daniel Petersen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2860895521
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220817000326
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 40-54 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
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.
This service was performed 11 times for 11 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 19 times for 19 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 11 times for 11 patientsThis 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.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $23.85 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53713 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Daniel Petersen is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SSM HEALTH ST MARY'S HOSPITAL - MADISON | 700 SOUTH PARK ST MADISON, WI 53715 | (608) 251-6100 | Acute Care Hospitals | |
STOUGHTON HOSPITAL | 900 RIDGE ST STOUGHTON, WI 53589 | (608) 873-6611 | Critical Access Hospitals | |
UPLAND HILLS HEALTH | 800 COMPASSION WAY DODGEVILLE, WI 53533 | (608) 930-8000 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 7 | 8 | 0 | 4 | 9 | 7 | 6 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 14 | 8 | 0 | 4 | 18 | 7 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 4 + 8 + 0 + 4 + 1 + 8 + 7 + 1 + 2 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1578049763 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
KATHRYN L MIDDLETON MD
Internal Medicine
(Pulmonary Disease)
2844 INDEX RD
ST. MARY'S SLLEP CENTER
FITCHBURG, WI
ZIP 53713
ELIZABETH A SAAR P.A.-C
Physician Assistant
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
SSM HEALTH CARE OF WISCONSIN INC
Clinic/Center
(Sleep Disorder Diagnostic)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
WILLIAM N DONOVAN JR. MD
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
JACALYN A NELSON MD
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
JOSEPH A CRISALLI M.D.
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
MEGAN A ROCKE PA-C
Physician Assistant
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
MICHELLE MORTENSEN PA-C
Physician Assistant
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
ABDULLAH ARJOMAND M.D.
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
DR. SCOTT E. JOHNSON M.D.
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
EWA I ALEXANDER MD
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
MEGAN ELIZABETH GALSKE APNP
Nurse Practitioner
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
HARRISON M GIMBEL MD
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
DR. DON A HARDEN MD
Internal Medicine
(Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
TANYA K. GUNTLY PA-C
Physician Assistant
2844 INDEX RD
FITCHBURG, WI
ZIP 53713
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578049763, enumerated as an "individual" on July 11, 2018.
The provider is located at 2844 INDEX RD FITCHBURG, WI 53713 and the phone number is (608) 229-7979.
Family Medicine with taxonomy code 207QS1201X and a focus in Sleep Medicine.
The provider might be accepting Accepts: Dean Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Daniel Petersen is affiliated with: SSM HEALTH ST MARY'S HOSPITAL - MADISON, STOUGHTON HOSPITAL and UPLAND HILLS HEALTH.