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DR. WYLAN CORNELIUS PETERSON M.D.
NPI 1659395523
Surgery - Surgical Critical Care in Fort Sam Houston, TX

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
3551 ROGER BROOKE DR, ATT'N MS. SHAWANA JUDGE, FORT SAM HOUSTON, TX 78234(210) 916-1064 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Mar 8, 2021, Aug 29, 2019 (3 updates tracked since 2019).

About Dr. Wylan Cornelius Peterson M.d. NPPES

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

DR. WYLAN CORNELIUS PETERSON M.D. (NPI 1659395523) is an individual surgical critical care provider in Fort Sam Houston, Texas, licensed in Texas (Q0151) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659395523
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. WYLAN CORNELIUS PETERSONCredential: M.D.
Location Address3551 ROGER BROOKE DR, ATT'N MS. SHAWANA JUDGEFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke Dr, Att'n Ms. Shawana JudgeFort Sam Houston, TX 78234-4504 · (210) 916-1064
Phone(210) 916-1064
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2001
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1659395523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in TX · Q0151
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License Q0151 (TX)
Also ListedSurgeryTaxonomy 208600000X · License 35-08-5446 (OH), Q0151 (TX)
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234
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Secondary Practice Locations 2

Location 1600 Elizabeth StCorpus Christi, TX 78404-2235 · Phone (361) 881-3000 · Fax (361) 881-3149
Location 24310 James Casey St Ste 3CAustin, TX 78745-1120 · Phone (512) 326-2800 · Fax (512) 441-6388

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wylan Cornelius Peterson M.d. 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 ID5799731105
PECOS Enrollment IDI20141222001144
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

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 Wylan Peterson's NPI number?

The NPI number for Wylan Peterson is 1659395523. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Wylan Peterson located?

Wylan Peterson practices at 3551 Roger Brooke Dr Att'n Ms. Shawana Judge, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-1064.

What is Wylan Peterson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Wylan Peterson enrolled in Medicare?

Yes. Wylan Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Wylan Peterson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Wylan 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.

Is Wylan Peterson affiliated with any hospitals?

According to CMS data, Wylan Peterson is affiliated with Christus Spohn Hospital Corpus Christi, Christus Santa Rosa Hospital-San Marcos and St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Wylan Peterson was last updated on June 18, 2024. 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.