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PETERSON MEDICAL ASSOCIATES
NPI 1770800575
Obstetrics & Gynecology in Kerrville, TX

Active since May 03, 2010CLIA Certified · 2 labs
575 HILL COUNTRY DR, STE 202, KERRVILLE, TX 78028(830) 258-6237(830) 315-1366 Get Directions Write a Review

NPPES record last updated: March 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2023, Jul 27, 2022, Feb 2, 2017 (3 updates tracked since 2017).

About Peterson Medical Associates NPPES

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

PETERSON MEDICAL ASSOCIATES (NPI 1770800575) is a healthcare organization registered as an obstetrics & gynecology in Kerrville, Texas and active in the NPI registry since May 2010. The organization holds 2 active CLIA laboratory certificates and lists Lisa Medovich, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770800575
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePETERSON MEDICAL ASSOCIATES
Location Address575 HILL COUNTRY DR, STE 202Kerrville, TX 78028-6024
Mailing AddressPo Box 26499Belfast, ME 04915-2015 · (830) 258-7343 · Fax (830) 258-7678
Phone(830) 258-6237
Fax(830) 315-1366
Organization SubpartNo
Authorized OfficialLisa MedovichCfo · (830) 258-7632
Enumeration DateMay 3, 2010
Last NPPES UpdateMarch 11, 20233 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
✔ NPI 1770800575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · 550119
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 550119 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License 550119 (TX)
575 HILL COUNTRY DR, Kerrville, TX 78028
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

233

Medicare enrollment records show 233 clinicians reassign Medicare billing to Peterson Medical Associates, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 65 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Diagnostic Radiology146
Nurse Practitioner17
Certified Registered Nurse Anesthetist (CRNA)15
Family Practice10
Certified Nurse Midwife (CNM)7
Internal Medicine6
General Surgery4
Infectious Disease4
16 other specialties24

Nearest to this location (20)

See all 233
Luis Acosta, M.D.
Gastroenterology
NPI 1720106966
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-6242
✔ PECOS✔ Accepts MedicareSame address
Sindhura Alapati, M.D
Diagnostic Radiology
NPI 1528370319
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7828
✔ PECOS✔ Accepts MedicareSame address
Jodie Baker, APN
Certified Nurse Midwife (CNM)
NPI 1174956460
575 HILL COUNTRY DR STE 202
Kerrville, TX 78028
(830) 258-6237
✔ PECOS✔ Accepts MedicareSame address
Michael Barker, M.D.
Diagnostic Radiology
NPI 1417147687
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7828
✔ PECOS✔ Accepts MedicareSame address
Jammie Barnes, M.D.
Rheumatology
NPI 1952551988
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts MedicareSame address
Sharrel Carlton, M.D.
Obstetrics/Gynecology
NPI 1831157403
575 HILL COUNTRY DR
Kerrville, TX 78028
(830) 258-6237
✔ PECOS✔ Accepts MedicareSame address
Charles Clark, FNP
Nurse Practitioner
NPI 1013485713
575 HILL COUNTRY DR STE 301
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts MedicareSame address
Jenna Cummings, ACNP
Nurse Practitioner
NPI 1114275922
575 HILL COUNTRY DR
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts MedicareSame address
Marco De Los Santos, MD
Pulmonary Disease
NPI 1932390119
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts MedicareSame address
Meagan Dodd
Anesthesiology
NPI 1316327687
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7828
✔ PECOS✔ Accepts MedicareSame address
Edward Erb, D.O.
Vascular Surgery
NPI 1053313163
575 HILL COUNTRY DR
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts MedicareSame address
Jason Goodrum, MD
Orthopedic Surgery
NPI 1265923189
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7090
✔ PECOS✔ Accepts MedicareSame address
Megan Hillis, CNM
Certified Nurse Midwife (CNM)
NPI 1598597544
575 HILL COUNTRY DR
Kerrville, TX 78028
(830) 258-6237
✔ PECOS✔ Accepts MedicareSame address
James Johnson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053426320
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7828
✔ Accepts MedicareSame address
Molly Johnston, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770685356
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7828
✔ Accepts MedicareSame address
John Nelson, M.D.
Urology
NPI 1760749154
575 HILL COUNTRY DR
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts MedicareSame address
Ryan Patrick, M.D.
Neurology
NPI 1346560026
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7090
✔ PECOS✔ Accepts MedicareSame address
Lindy Rachal, M.D.
Gastroenterology
NPI 1275533150
575 HILL COUNTRY DR
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts MedicareSame address
Bridget Robledo, MD
Family Practice
NPI 1841297652
575 HILL COUNTRY DR 2ND FLOOR
Kerrville, TX 78028
(830) 258-7090
✔ PECOS✔ Accepts MedicareSame address
Jarrod Wiggins, M.D.
Family Practice
NPI 1861668691
575 HILL COUNTRY DR 2ND FLOOR
Kerrville, TX 78028
(830) 258-6237
✔ PECOS✔ Accepts MedicareSame address
See all 233 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2043957

Peterson Medical Associates · Kerrville, TX
Active · expires Jul 12, 2028
CLIA Number45D2043957
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorMartha Elizabeth Wilfong
Laboratory Phone(830) 895-7755
Laboratory LocationPeterson Medical Associates575 Hill Country Drive, Kerrville, TX 78028
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 45D2146135

Peterson Medical Associates - Kerrville · Kerrville, TX
Active · expires Mar 21, 2028
CLIA Number45D2146135
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorJarrod S. Wiggins
Laboratory Phone(830) 522-2002
Laboratory LocationPeterson Medical Associates - Kerrville1331 Bandera Hwy Suite 2, 3, 4, Kerrville, TX 78028
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Peterson Medical Associates's NPI number?

The NPI number for Peterson Medical Associates is 1770800575. It was assigned to this organization in the NPPES registry on May 3, 2010.

Where is Peterson Medical Associates located?

Peterson Medical Associates is located at 575 Hill Country Dr Ste 202, Kerrville, TX 78028. The listed phone number is (830) 258-6237.

What is Peterson Medical Associates's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Peterson Medical Associates enrolled in Medicare?

Yes. Peterson Medical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peterson Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 233 clinicians in 24 Medicare specialties reassign their Medicare billing to Peterson Medical Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (146), Nurse Practitioner (17) and Certified Registered Nurse Anesthetist (CRNA) (15). Of these, 40 practice at this address and 65 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peterson Medical Associates hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Peterson Medical Associates accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Peterson Medical Associates 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 Peterson Medical Associates was last updated on March 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.