WALLACE CARY PETERSON JR. MD
NPI 1760472039
Internal Medicine - Hematology & Oncology in Lincoln, NE

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
73.68/100
CMS Quality Rating
4101 TIGER LILY RD STE 100, LINCOLN, NE 68516(402) 420-7000(402) 420-6969 Get Directions Write a Review

NPPES record last updated: March 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wallace Cary Peterson Jr. Md NPPES

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

WALLACE CARY PETERSON JR. MD (NPI 1760472039) is an individual hematology & oncology provider in Lincoln, Nebraska, licensed in Nebraska (16442) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1982).

NPPES Registry Identity

NPI1760472039
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameWALLACE CARY PETERSON JR.Credential: MD
Location Address4101 TIGER LILY RD STE 100Lincoln, NE 68516-5587
Mailing Address4101 Tiger Lily Rd Ste 100Lincoln, NE 68516-5587 · (402) 420-7000 · Fax (402) 420-6969
Fax(402) 420-6969
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1982
Enumeration DateOctober 26, 2005
Last NPPES UpdateMarch 16, 2024
NPPES CertifiedMarch 16, 2024
NPI 1760472039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NE · 16442
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
4101 TIGER LILY RD STE 100, Lincoln, NE 68516

Other Identifiers 4

Medicaid200000870AKS
Other32276NE · Bcbs
Other3600017NE · Uhc
Other1242NE · Midlands Choice

Accepted 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

Wallace Cary Peterson Jr. Md 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 ID1052373081
PECOS Enrollment IDI20050720000742
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 79

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, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
20,775 services16 patients
Injection, nivolumab, 1 mg J9299
Nivolumab is a medication given via injection, often used in cancer treatment. It works by helping your immune system fight the cancer cells. The dosage is measured in milligrams (mg), with 1 mg being a common dose.
17,620 services14 patients
Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
10,500 services14 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
9,450 services25 patients
Injection, daratumumab, 10 mg and hyaluronidase-fihj J9144
Daratumumab and hyaluronidase-fihj is an injection administered to treat certain types of blood cancer. The medication works by targeting and killing specific cancer cells. It's often given under the skin to reduce side effects and improve patient comfort.
9,180 services15 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,525 services75 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Pawnee County Memorial Hospital

Critical Access Hospitals · Pawnee City, NE
OwnershipGovernment - Local
CMS Certification Number281302
LocationP O Box 433, 600 I StPawnee City, NE 68420 · Pawnee County
Emergency services

Johnson County Hospital

Critical Access Hospitals · Tecumseh, NE
OwnershipGovernment - Local
CMS Certification Number281350
Location202 High StTecumseh, NE 68450 · Johnson County
Emergency services

Community Medical Center, Inc.

Critical Access Hospitals · Falls City, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281352
LocationP O Box 399, 3307 Bill Schock BoulevardFalls City, NE 68355 · Richardson County
Emergency services

Crete Area Medical Center

Critical Access Hospitals · Crete, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281354
LocationP O Box 220, 2910 Betten DrCrete, NE 68333 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68516 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
$160.21 typical visit price
range $52.69 – $160.21
Typical copayment $40.05 (range $13.17 – $40.05)
Most-billed visit code 99205
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

73.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.38
Promoting Interoperability82
Improvement Activities40
Cost37.02

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.81 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier20 claims913 services$0.65 avg. paid by Medicare
Antiemetic drug, oral, not otherwise specified J8597
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier14 claims3,032 services$0.01 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers16 claims30 services$28.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier16 claims16 services$17.79 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier17 claims19 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Occupational Therapist
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Physician Assistant
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Nurse Practitioner (Adult Health)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516

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 Wallace Peterson's NPI number?

The NPI number for Wallace Peterson is 1760472039. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Wallace Peterson located?

Wallace Peterson practices at 4101 Tiger Lily Rd Ste 100, Lincoln, NE 68516. The listed phone number is (402) 420-7000.

What is Wallace Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Wallace Peterson enrolled in Medicare?

Yes. Wallace 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 Wallace Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Wallace 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 Wallace Peterson affiliated with any hospitals?

According to CMS data, Wallace Peterson is affiliated with Bryan Medical Center, Pawnee County Memorial Hospital, Johnson County Hospital, Community Medical Center, Inc. and Crete Area Medical Center.

When was this NPI record last updated?

The NPPES record for Wallace Peterson was last updated on March 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.