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DR. TRAVIS SCOTT PETERSEN MD
NPI 1861177073
Emergency Medicine in Ann Arbor, MI

Active since June 16, 2023PECOS Enrolled
1500 E MEDICAL CENTER DR # TC-B1380, ANN ARBOR, MI 48109(734) 936-6666 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Travis Scott Petersen Md NPPES

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

DR. TRAVIS SCOTT PETERSEN MD (NPI 1861177073) is an individual emergency medicine provider in Ann Arbor, Michigan, licensed in Michigan (4351050607) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861177073
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TRAVIS SCOTT PETERSENCredential: MD
Location Address1500 E MEDICAL CENTER DR # TC-B1380Ann Arbor, MI 48109-5000
Mailing Address1500 E Medical Center Dr # Tc-b1-380Ann Arbor, MI 48109-5305 · (734) 936-6666
Phone(734) 936-6666
Sole ProprietorNo
Enumeration DateJune 16, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1861177073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4351050607
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1500 E MEDICAL CENTER DR # TC-B1380, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Travis Scott Petersen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 15

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

MEHRNOOSH GHAFOURI MD
Emergency Medicine
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 763-7919
LAURA HARDING-JACKSON
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6325
AUBREE HONCOOP MD/PHD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
OUSSAMA BAKR MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DR. FLETCHER GREGORY VILT MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
MEAGHAN FAUCHER DO
Emergency Medicine
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
MR. JOEL AYERS MD
Emergency Medicine
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
KEVIN JIAWEN LIN MD
Emergency Medicine
1500 E MEDICAL CENTER DR # TC-B1380
ANN ARBOR, MI 48109
Washtenaw County (631) 974-0267

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 Travis Petersen's NPI number?

The NPI number for Travis Petersen is 1861177073. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Travis Petersen located?

Travis Petersen practices at 1500 E Medical Center Dr # Tc-B1380, Ann Arbor, MI 48109. The listed phone number is (734) 936-6666.

What is Travis Petersen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Travis Petersen enrolled in Medicare?

Yes. Travis Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Travis Petersen was last updated on June 16, 2023. 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.