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DR. DAVID SIGURD PETERSEN M.D.
NPI 1821145590
Urology in Moline, IL

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
83.79/100
CMS Quality Rating
2121 1ST STREET A, MOLINE, IL 61265(309) 764-9790(309) 526-8995 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Sigurd Petersen M.d. NPPES

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

DR. DAVID SIGURD PETERSEN M.D. (NPI 1821145590) is an individual urology provider in Moline, Illinois, licensed in Illinois (036055984) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1969).

NPPES Registry Identity

NPI1821145590
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DAVID SIGURD PETERSENCredential: M.D.
Location Address2121 1ST STREET AMoline, IL 61265-7745
Mailing Address2121 1st Street AMoline, IL 61265-7745 · (309) 764-9790 · Fax (309) 526-8995
Phone(309) 764-9790
Fax(309) 526-8995
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1969
Enumeration DateJanuary 4, 2007
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1821145590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036055984
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2121 1ST STREET A, Moline, IL 61265
Open in Google Maps ↗

Other Identifiers 1

Medicaid036055984IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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. David Sigurd 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 ID1658331350
PECOS Enrollment IDI20110222001207, I20190710001361
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.17
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES

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

DAVID S. PETERSEN, M.D.S.C.
Urology
2121 1ST STREET A
MOLINE, IL 61265
Rock Island County (309) 764-9790

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 David Petersen's NPI number?

The NPI number for David Petersen is 1821145590. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is David Petersen located?

David Petersen practices at 2121 1st Street A, Moline, IL 61265. The listed phone number is (309) 764-9790.

What is David Petersen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Petersen enrolled in Medicare?

Yes. David 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 David Petersen accept?

Health plans from Medica and Oscar Insurance Company list David 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 David Petersen affiliated with any hospitals?

According to CMS data, David Petersen is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini.

When was this NPI record last updated?

The NPPES record for David Petersen was last updated on September 29, 2021. 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.