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MR. SCOTT W PETERSON PA
NPI 1720105901
Physician Assistant in Wasilla, AK

Active since March 23, 2007PECOS Enrolled
950 BOGARD RD, SUITE 233, WASILLA, AK 99654(907) 352-2880(907) 352-2885 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Scott W Peterson Pa NPPES

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

MR. SCOTT W PETERSON PA (NPI 1720105901) is an individual physician assistant in Wasilla, Alaska, licensed in Alaska (246) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720105901
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SCOTT W PETERSONCredential: PA
Location Address950 BOGARD RD, SUITE 233Wasilla, AK 99654-7105
Mailing Address950 Bogard Rd, Suite 233Wasilla, AK 99654-7105 · (907) 352-2880 · Fax (907) 352-2885
Phone(907) 352-2880
Fax(907) 352-2885
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1720105901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AK · 246
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
950 BOGARD RD, Wasilla, AK 99654
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Other Identifiers 3

Medicare UPINR01166AK
Medicare UPIN152656AK
Medicare PIN152668AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Mr. Scott W Peterson Pa 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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
123 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
77 services77 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
41 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99654 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%465 patients1/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%1,413 patients2/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

ALASKA HEART CLINIC, INC
Internal Medicine
950 BOGARD RD, SUITE 207
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-9444
RICHARD J ZAJAC M.D.
Internal Medicine
950 BOGARD RD, 207
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-9444
MELISSA PETERS, D.O. PC
Internal Medicine
950 BOGARD RD, SUITE 226
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2868
MAT SU VALLEY MEDICAL CENTER LLC
Durable Medical Equipment & Medical Supplies
950 BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 352-2888

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 Scott Peterson's NPI number?

The NPI number for Scott Peterson is 1720105901. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Scott Peterson located?

Scott Peterson practices at 950 Bogard Rd Suite 233, Wasilla, AK 99654. The listed phone number is (907) 352-2880.

What is Scott Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Peterson enrolled in Medicare?

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

What insurance does Scott Peterson accept?

Health plans from Moda Health Plan, Inc. list Scott 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 Scott Peterson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.