SCOTT M PETERSON MD
NPI 1649250242
Obstetrics & Gynecology in Portage, MI

Q: What is Scott Peterson's NPI number?

The NPI number for Scott Peterson is 1649250242. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Scott Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Peterson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 19, 2006PECOS EnrolledAccepts Medicare Assignment

84.88/100

CMS Quality Rating

3300 W CENTRE AVE, BRONSON OB GYN ASSOCIATES, PORTAGE, MI 49024(269) 327-2211(269) 327-0273 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Scott M Peterson Md NPPES

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

SCOTT M PETERSON MD (NPI 1649250242) is an individual obstetrics & gynecology provider in Portage, Michigan, licensed in Michigan (4301068138) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).

NPPES Registry Identity

NPI1649250242

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameSCOTT M PETERSONCredential: MD

Location Address3300 W CENTRE AVE, BRONSON OB GYN ASSOCIATESPortage, MI 49024-4666

Mailing Address601 John St, Box 42Kalamazoo, MI 49007-5341 · (269) 341-7806 · Fax (269) 341-8743

Phone(269) 327-2211

Fax(269) 327-0273

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1996

Enumeration DateJanuary 19, 2006

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedOctober 12, 2020

✔ NPI 1649250242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4301068138

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3300 W CENTRE AVE, Portage, MI 49024

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Other Identifiers 4

Medicaid4770173MI

Other1235131137MI · Bcbsm - Blh

Medicaid4681190MI

Medicaid1649250242MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott M Peterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870560238

PECOS Enrollment IDI20040914001326

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

Medicare enrollment records show Scott Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson Methodist Hospital

6.6 mi

Hospitalist

601 JOHN STREET
Kalamazoo, MI 49007

Reassigned Medicare billing, Michigan enrollment
1,133 clinicians in this Medicare group

NPI 1417961137 (269) 341-7654

Bronson Lakeview Hospital

14 mi

Critical Access

408 HAZEN ST
Paw Paw, MI 49079

Reassigned Medicare billing, Michigan enrollment
Also billed through NPI 1235131137 (Michigan)
43 clinicians in this Medicare group

NPI 1962508259 (269) 657-3141

Bronson Battle Creek Hospital

25 mi

Internal Medicine

300 NORTH AVE
Battle Creek, MI 49017

Reassigned Medicare billing, Michigan enrollment
557 clinicians in this Medicare group

NPI 1093119638 (269) 245-8000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.29

Promoting Interoperability

100

Improvement Activities

Cost

68.32

Other Providers at the Same Location NPPES 18

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

MRS. MARY ANNE DYKEMA MSW

Social Worker (Clinical)