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KEVIN PETERSON DO
NPI 1790225662
Anesthesiology - Pain Medicine in Jbsa-fort Sam Houston, TX

Active since February 27, 2017PECOS EnrolledAccepts Medicare Assignment
3551 RODGER BROOKE DR, JBSA-FORT SAM HOUSTON, TX 78234(210) 916-8666(210) 916-8712 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 1, 2021, Feb 20, 2019, Feb 27, 2017 (3 updates tracked since 2017).

About Kevin Peterson Do NPPES

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

KEVIN PETERSON DO (NPI 1790225662) is an individual pain medicine provider in Jbsa-fort Sam Houston, Texas, licensed in Texas (S0534) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1790225662
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameKEVIN PETERSONCredential: DO
Location Address3551 RODGER BROOKE DRJbsa-fort Sam Houston, TX 78234-4504
Mailing Address3551 Rodger Brooke Dr, Anesthesia ResidencyJbsa-fort Sam Houston, TX 78234-4504 · (210) 916-8666
Phone(210) 916-8666
Fax(210) 916-8712
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2017
Enumeration DateFebruary 27, 2017
Last NPPES UpdateJune 17, 20223 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
✔ NPI 1790225662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in TX · S0534
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License S0534 (TX)
Also ListedGeneral PracticeTaxonomy 208D00000X · License S0534 (TX)
3551 RODGER BROOKE DR, Jbsa-fort Sam Houston, TX 78234
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Kevin Peterson Do 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 ID6800322520
PECOS Enrollment IDI20241204004643
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.

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

CHARLES ALEXANDER FULLER
Physical Therapist
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (770) 545-1469
PAUL STEWART III DO
Military Health Care Provider
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-4141
JAMES LEE LAIN PA
Physician Assistant (Medical)
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-4141
NATHANIEL PAUL BRYANT
Nurse Practitioner (Family)
3551 RODGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (757) 329-7723

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 Kevin Peterson's NPI number?

The NPI number for Kevin Peterson is 1790225662. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Where is Kevin Peterson located?

Kevin Peterson practices at 3551 Rodger Brooke Dr, Jbsa-Fort Sam Houston, TX 78234. The listed phone number is (210) 916-8666.

What is Kevin Peterson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Kevin Peterson enrolled in Medicare?

Yes. Kevin 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 Kevin Peterson accept?

Health plans from Blue Cross and Blue Shield of Texas list Kevin 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 Kevin Peterson affiliated with any hospitals?

According to CMS data, Kevin Peterson is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Peterson was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.