KAITLIN M PETERSON M.D.
NPI 1669903191
Radiology - Diagnostic Radiology in Albuquerque, NM

Q: What is Kaitlin Peterson's NPI number?

The NPI number for Kaitlin Peterson is 1669903191. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Q: What is Kaitlin Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Peterson was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 March 26, 2017PECOS EnrolledAccepts Medicare Assignment

8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110(505) 998-3096 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Jul 21, 2023, Jul 7, 2023 and 3 more (6 updates tracked since 2017).

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About Kaitlin M Peterson M.d. NPPES

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

KAITLIN M PETERSON M.D. (NPI 1669903191) is an individual diagnostic radiology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2022-0911) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2017).

NPPES Registry Identity

NPI1669903191

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameKAITLIN M PETERSONCredential: M.D.

Location Address8020 CONSTITUTION PL NE STE 202Albuquerque, NM 87110-7640

Mailing Address8020 Constitution Pl Ne Ste 202Albuquerque, NM 87110-7640 · (505) 998-3096 · Fax (505) 998-3100

Phone(505) 998-3096

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2017

Enumeration DateMarch 26, 2017

Last NPPES UpdateApril 23, 20256 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1669903191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in NM · MD2022-0911✔ Licensed in WI · 72231

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

8020 CONSTITUTION PL NE STE 202, Albuquerque, NM 87110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Kaitlin M 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 ID6002248564

PECOS Enrollment IDI20230323001970

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 Kaitlin Peterson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

X-Ray Associates Of New Mexico PC

Same address

Diagnostic Radiology

8020 CONSTITUTION PLACE NE, SUITE 101
Albuquerque, NM 87110

Reassigned Medicare billing, New Mexico enrollment
41 clinicians in this Medicare group

NPI 1235105800 (505) 998-1316

Knd Development 59 LLC

4.6 mi

Hospitalist

700 HIGH ST NE
Albuquerque, NM 87102

Reassigned Medicare billing, New Mexico enrollment
73 clinicians in this Medicare group

NPI 1215266754 (505) 245-4444

New Mexico Oncology Hematology Consultants, Ltd.

5.9 mi

Hematology & Oncology

4901 LANG AVE NE
Albuquerque, NM 87109

Reassigned Medicare billing, New Mexico enrollment
106 clinicians in this Medicare group

NPI 1164475232 (505) 842-8171

Cibola General Hospital Corporation

72 mi

Critical Access

1016 E ROOSEVELT AVE
Grants, NM 87020

Reassigned Medicare billing, New Mexico enrollment
144 clinicians in this Medicare group

NPI 1780677039 (505) 287-5300

Otero County Hospital Association

154 mi

General Acute Care Hospital

2669 SCENIC DR
Alamogordo, NM 88310

Reassigned Medicare billing, New Mexico enrollment
417 clinicians in this Medicare group

NPI 1861450579 (575) 439-6100

Three Crosses Regional Hospital LLC

191 mi

Multi-Specialty

2560 SAMARITAN DR
Las Cruces, NM 88001

Reassigned Medicare billing, New Mexico enrollment
85 clinicians in this Medicare group

NPI 1487248050 (575) 800-3760

Group Health Cooperative Of South Central Wisconsin

1,066 mi

Health Maintenance Organization

1265 JOHN Q HAMMONS DR
Madison, WI 53717

Reassigned Medicare billing, Wisconsin enrollment
422 clinicians in this Medicare group

NPI 1245260165 (608) 251-4156

Fort Healthcare Inc

1,093 mi

Rural Health

611 SHERMAN AVE E
Fort Atkinson, WI 53538

Reassigned Medicare billing, Wisconsin enrollment
298 clinicians in this Medicare group

NPI 1417450115 (920) 563-5571

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

Areas of Expertise CMS Part B claims 29

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.

Injection, gadobutrol, 0.1 ml A9585

Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.

7,614 services101 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

877 services877 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

876 services876 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

275 services267 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

246 services240 patients

Screening 3d breast mammography 77063

183 services183 patients

Screening mammography 77067

183 services183 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

171 services171 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

134 services123 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

126 services124 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

90 services83 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

87 services86 patients

X-ray of chest, 2 views 71046

83 services81 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

41 services41 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

39 services37 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

28 services28 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

26 services26 patients

Complete ultrasound scan of 1 breast 76641

26 services26 patients

Diagnostic mammography of 1 breast 77065

26 services25 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

22 services18 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

21 services20 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

19 services19 patients

Diagnostic mammography of both breasts 77066

18 services18 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

14 services12 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

13 services13 patients

Placement of locating device in breast using ultrasound guidance, first growth 19285

This procedure involves inserting a small locating device into the breast tissue using ultrasound. The device helps accurately mark the position of the first growth. This aids in precise treatment planning. It's a non-invasive process with minimal discomfort.

12 services12 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

12 services12 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

11 services11 patients

Mri scan of both breasts 77049

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320004

Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County

Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM

OwnershipProprietary

CMS Certification Number320033

Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County

Emergency services Birthing friendly

Cibola General Hospital

Critical Access Hospitals · Grants, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321308

Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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.

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.

DR. JOSE BERNARDO REBEIL-DE LA ROSA MD

Radiology (Diagnostic Radiology)