DIANE M PETERSEN M.D.
NPI 1790719342
Obstetrics & Gynecology in Saint Louis, MO

Q: What is Diane Petersen's NPI number?

The NPI number for Diane Petersen is 1790719342. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Diane Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diane Petersen was last updated on December 1, 2022. 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.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

10010 KENNERLY RD FL 4, SAINT LOUIS, MO 63128(314) 525-6072(314) 525-1387 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2022, Feb 8, 2021 (2 updates tracked since 2021).

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About Diane M Petersen M.d. NPPES

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

DIANE M PETERSEN M.D. (NPI 1790719342) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (2002025841) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1790719342

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDIANE M PETERSENCredential: M.D.

Location Address10010 KENNERLY RD FL 4Saint Louis, MO 63128-2106

Mailing Address10010 Kennerly Rd Fl 4Saint Louis, MO 63128-2106 · (314) 525-6072 · Fax (314) 525-1387

Phone(314) 525-6072

Fax(314) 525-1387

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1998

Enumeration DateJuly 10, 2006

Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration

NPPES CertifiedDecember 1, 2022

✔ NPI 1790719342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MO · 2002025841

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.

10010 KENNERLY RD FL 4, Saint Louis, MO 63128

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Secondary Practice Location 1

Location 1615 S New Ballas RdSaint Louis, MO 63141-8221 · Phone (314) 251-7498

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.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

Diane M Petersen M.d. 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 ID345203469

PECOS Enrollment IDI20041110000133

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.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260077

Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. LAUREL D FENDRICH M.D.

Obstetrics & Gynecology

10010 KENNERLY RD FL 4
SAINT LOUIS, MO 63128

St. Louis County (314) 525-6072

KATY MARY KATHERINE COX MD

Obstetrics & Gynecology

10010 KENNERLY RD FL 4
SAINT LOUIS, MO 63128

St. Louis County (314) 525-6072

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 Diane Petersen's NPI number?

The NPI number for Diane Petersen is 1790719342. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Diane Petersen located?

Diane Petersen practices at 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128. The listed phone number is (314) 525-6072.

What is Diane Petersen's specialty?

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

Is Diane Petersen enrolled in Medicare?

Yes. Diane 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 Diane Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Diane 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 Diane Petersen affiliated with any hospitals?

According to CMS data, Diane Petersen is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Diane Petersen was last updated on December 1, 2022. 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.