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DR. KYLE PETERSEN D.O.
NPI 1790032530
Family Medicine in Hollywood, FL

Active since August 10, 2012PECOS EnrolledAccepts Medicare Assignment
3157 N UNIVERSITY DR STE 101, HOLLYWOOD, FL 33024(754) 206-8250(754) 206-8260 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2020, May 14, 2018 (2 updates tracked since 2018).

About Dr. Kyle Petersen D.o. NPPES

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

DR. KYLE PETERSEN D.O. (NPI 1790032530) is an individual family medicine provider in Hollywood, Florida, licensed in Florida (OS11815) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Lehigh Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790032530
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KYLE PETERSENCredential: D.O.
Location Address3157 N UNIVERSITY DR STE 101Hollywood, FL 33024-2258
Mailing Address3157 N University Dr Ste 101Hollywood, FL 33024-2258 · (754) 206-8250 · Fax (754) 206-8260
Phone(754) 206-8250
Fax(754) 206-8260
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 10, 2012
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1790032530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS11815
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3157 N UNIVERSITY DR STE 101, Hollywood, FL 33024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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. Kyle Petersen 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 ID8820233984
PECOS Enrollment IDI20130321000211
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services65 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
69 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
37 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Lehigh Regional Medical Center

Acute Care Hospitals · Lehigh Acres, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100107
Location1500 Lee BlvdLehigh Acres, FL 33936 · Lee County
Emergency services

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100252
Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33024 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims

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$72.18 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 2

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

KYLE CARE PA
General Practice
3157 N UNIVERSITY DR STE 101
HOLLYWOOD, FL 33024
Broward County (754) 206-8250
PROHEALTH PRIMARY CARE LLC
Family Medicine
3157 N UNIVERSITY DR STE 101
PEMBROKE PINES, FL 33024
Broward County (754) 206-8250

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 Kyle Petersen's NPI number?

The NPI number for Kyle Petersen is 1790032530. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Kyle Petersen located?

Kyle Petersen practices at 3157 N University Dr Ste 101, Hollywood, FL 33024. The listed phone number is (754) 206-8250.

What is Kyle Petersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kyle Petersen enrolled in Medicare?

Yes. Kyle Petersen 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 Kyle Petersen accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Kyle Petersen 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 Kyle Petersen affiliated with any hospitals?

According to CMS data, Kyle Petersen is affiliated with Lehigh Regional Medical Center, Boca Raton Regional Hospital, Hca Florida Raulerson Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Petersen was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.