KEVIN W. PETERSON D.O.
NPI 1669633343
Pediatrics in Indianola, IA

Q: What is Kevin Peterson's NPI number?

The NPI number for Kevin Peterson is 1669633343. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Q: What is Kevin Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Peterson was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 24, 2008PECOS Enrolled

307 E SCENIC VALLEY AVE, INDIANOLA, IA 50125(515) 961-8448(515) 643-9100 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kevin W. Peterson D.o. NPPES

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

KEVIN W. PETERSON D.O. (NPI 1669633343) is an individual pediatrics provider in Indianola, Iowa, licensed in Iowa (4172) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669633343

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKEVIN W. PETERSONCredential: D.O.

Location Address307 E SCENIC VALLEY AVEIndianola, IA 50125-4865

Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 961-8448 · Fax (515) 643-9100

Phone(515) 961-8448

Fax(515) 643-9100

Sole ProprietorNo

Enumeration DateJune 24, 2008

Last NPPES UpdateOctober 29, 2019

✔ NPI 1669633343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IA · 4172

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License DO-04172 (IA)

307 E SCENIC VALLEY AVE, Indianola, IA 50125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter 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 (PECOS)

Kevin W. Peterson D.o. 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 Reassignment

Medicare enrollment records show Kevin Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinics, Inc.

0.7 mi

Primary Care

307 E SCENIC VALLEY AVE
Indianola, IA 50125

Reassigned Medicare billing, Iowa enrollment
516 clinicians in this Medicare group

NPI 1528087418 (515) 961-8448

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 50125 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

CANDICE N SMITH MD

Family Medicine

307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125

Warren County (515) 961-8448

ANGELA THOMPSON ARNP

Nurse Practitioner

307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125

Warren County (515) 961-8448

PHILLIP BRYANT DO

Family Medicine

307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125

Warren County (515) 961-8448

KYLE ALLEN HAAKE PT

Physical Therapist

307 E SCENIC VALLEY AVE, SUITE 300
INDIANOLA, IA 50125

Warren County (515) 643-9109

TERESA ANN KOLARIK ARNP

Nurse Practitioner (Family)

307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125

Warren County (515) 961-8448

MERCY CLINICS, INC.

Clinic/Center (Primary Care)

307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125

Warren County (515) 961-8448

SCOTT D. HOFFMAN D.O.

Family Medicine

307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125

Warren County (515) 961-8448

DR. DAVID A. SMITH DO

Internal Medicine

307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125

Warren County (515) 961-8448

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 Kevin Peterson's NPI number?

The NPI number for Kevin Peterson is 1669633343. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Kevin Peterson located?

Kevin Peterson practices at 307 E Scenic Valley Ave, Indianola, IA 50125. The listed phone number is (515) 961-8448.

What is Kevin Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kevin Peterson enrolled in Medicare?

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

Which organization bills Medicare for Kevin Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Peterson reassigns Medicare benefits to Mercy Clinics, Inc. (Indianola, IA). The 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 Kevin Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Kevin 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 Kevin Peterson was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.