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

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: July 26, 2026.

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
Open in Google Maps ↗

Accepted Insurance

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

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.

TERESA ANN KOLARIK ARNP
Nurse Practitioner (Family)
307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125
Warren County (515) 961-8448
KELLI MCCORMICK ARNP
Nurse Practitioner
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
SARAH M OLSASKY DO
Family Medicine
307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125
Warren County (515) 961-8448
MEGAN J GUSTAFSON P.A.
Physician Assistant
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
PHILLIP BRYANT DO
Family Medicine
307 E SCENIC VALLEY AVE
INDIANOLA, IA 50125
Warren County (515) 961-8448
GEOFFREY MARK DANKLE M.D.
Family 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.

What insurance does Kevin Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 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 with the weekly NPPES data releases published by CMS.