DR. KYLE PETERSEN D.O.
NPI 1790032530
Family Medicine in Weston, FL
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 Weston, 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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
10Medicare enrollment records show Kyle Petersen reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pembroke Pines, FL 33027
- Reassigned Medicare billing, Florida enrollment
- 373 clinicians in this Medicare group
Davie, FL 33314
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 clinicians in this Medicare group
Hialeah, FL 33012
- Reassigned Medicare billing, Florida enrollment
- 46 clinicians in this Medicare group
Wellington, FL 33414
- Reassigned Medicare billing, Florida enrollment
- 138 clinicians in this Medicare group
Clewiston, FL 33440
- Reassigned Medicare billing, Florida enrollment
- 147 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 300 clinicians in this Medicare group
St Petersburg, FL 33716
- Reassigned Medicare billing, Florida enrollment
- 440 clinicians in this Medicare group
Pace, FL 32571
- Reassigned Medicare billing, Florida enrollment
- 51 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Florida enrollment
- 802 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
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, FLBoca Raton Regional Hospital
Acute Care Hospitals · Boca Raton, FLHca Florida Raulerson Hospital
Acute Care Hospitals · Okeechobee, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33326 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 55 Weston Rd Ste 101, Weston, FL 33326. The listed phone number is (954) 280-2230.
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.
Which organizations bill Medicare for Kyle Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Petersen reassigns Medicare benefits to 10 organizations: MD Now Medical Centers Inc (Pembroke Pines, FL), Bellux Medical And Aesthetics Group, LLC (Davie, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL), Larkin Emergency Physicians LLC (Hialeah, FL), Em Alliance LLC (Wellington, FL) and 5 more organizations, listed in the Medicare section above. Each 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 Kyle Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Petersen accept?
Health plans from 22 Health 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 and Hca Florida Raulerson Hospital.
When was this NPI record last updated?
The NPPES record for Kyle Petersen was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Dr. Kyle Petersen, D.O. · NPI 1790032530
Family Medicine physician in Weston, Florida. Individual provider, active in the CMS NPPES registry since August 10, 2012.
## Identity
- **NPI:** 1790032530 (Entity type: Individual)
- **Enumerated:** August 10, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS11815 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 WESTON RD STE 101, Weston, FL 33326-1112
- **Phone:** (954) 280-2230 · **Fax:** (954) 960-6355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): MD Now Medical Centers Inc (NPI 1265107361, Pembroke Pines, FL); Bellux Medical And Aesthetics Group, LLC (NPI 1649052259, Davie, FL); Emergency Medicine Services Of Fl, LLC (NPI 1043917180, Aventura, FL); Larkin Emergency Physicians LLC (NPI 1831558626, Hialeah, FL); Em Alliance LLC (NPI 1922788959, Wellington, FL); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790032530) · Data from the CMS NPPES public registry.