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DR. KYLAN D PETERSON D.O.
NPI 1750542452
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Twin Falls, ID

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
730 N COLLEGE RD, SUITE B, TWIN FALLS, ID 83301(208) 814-7350(208) 732-8508 Get Directions Write a Review

NPPES record last updated: January 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kylan D Peterson D.o. NPPES

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

DR. KYLAN D PETERSON D.O. (NPI 1750542452) is an individual otolaryngology/facial plastic surgery provider in Twin Falls, Idaho, licensed in Idaho (O0713) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2008).

NPPES Registry Identity

NPI1750542452
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. KYLAN D PETERSONCredential: D.O.
Location Address730 N COLLEGE RD, SUITE BTwin Falls, ID 83301-3382
Mailing AddressPo Box 587Twin Falls, ID 83303-0587 · (208) 814-7400 · Fax (208) 814-7491
Phone(208) 814-7350
Fax(208) 732-8508
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2008
Enumeration DateJune 24, 2008
Last NPPES UpdateJanuary 2, 2015
✔ NPI 1750542452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in ID · O0713
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
730 N COLLEGE RD, Twin Falls, ID 83301
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN20003194ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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. Kylan D Peterson D.o. 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 ID6608061676
PECOS Enrollment IDI20130802000550
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 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.
71 services71 patients
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.
68 services62 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
51 services47 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131326
Location1501 Hiland AvenueBurley, ID 83318 · Cassia County
Emergency services Birthing friendly

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

Other Providers at the Same Location NPPES 5

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

STEVEN A. KOHTZ MD
Family Medicine
730 N COLLEGE RD, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 814-7300
LORA K ROBERTS N.P.
Nurse Practitioner (Family)
730 N COLLEGE RD, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 814-7300
MARY BETH CURTIS M.D.
Family Medicine
730 N COLLEGE RD, SUITE A
TWIN FALLS, ID 83301
Twin Falls County (208) 814-7300
DR. RUSSELL WELDON MAYES D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
730 N COLLEGE RD, SUITE B
TWIN FALLS, ID 83301
Twin Falls County (208) 814-7350
CORTNEY R MITCHELL AUD,BS,AA
Audiologist
730 N COLLEGE RD, SUITE B
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3066

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 Kylan Peterson's NPI number?

The NPI number for Kylan Peterson is 1750542452. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Kylan Peterson located?

Kylan Peterson practices at 730 N College Rd Suite B, Twin Falls, ID 83301. The listed phone number is (208) 814-7350.

What is Kylan Peterson's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Kylan Peterson enrolled in Medicare?

Yes. Kylan 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 Kylan Peterson accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Kylan 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 Kylan Peterson affiliated with any hospitals?

According to CMS data, Kylan Peterson is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center, St Luke's Wood River Medical Center and Cassia Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kylan Peterson was last updated on January 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.