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DR. RONALD GENE PETERSON JR. D.C.
NPI 1891064226
Chiropractor in Fairview Heights, IL

Active since December 13, 2011Accepts Medicare Assignment
815 LINCOLN HWY STE 101, FAIRVIEW HEIGHTS, IL 62208(618) 589-3911 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ronald Gene Peterson Jr. D.c. NPPES

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

DR. RONALD GENE PETERSON JR. D.C. (NPI 1891064226) is an individual chiropractor in Fairview Heights, Illinois, licensed in Illinois (038.012069) and active in the NPI registry since December 2011. He is a graduate of Logan College Of Chiropractic (2010).

NPPES Registry Identity

NPI1891064226
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RONALD GENE PETERSON JR.Credential: D.C.
Location Address815 LINCOLN HWY STE 101Fairview Heights, IL 62208-2230
Mailing Address815 Lincoln Hwy, Ste 109Fairview Heights, IL 62208-2230 · (618) 589-3911
Phone(618) 589-3911
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2010
Enumeration DateDecember 13, 2011
Last NPPES UpdateNovember 29, 2016
✔ NPI 1891064226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.012069
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
815 LINCOLN HWY STE 101, Fairview Heights, IL 62208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan, UnitedHealthcare.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. Ronald Gene Peterson Jr. D.c. 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 ID9234398660
PECOS Enrollment IDI20120305000468

Medicare Billing Reassignment

Medicare enrollment records show Ronald Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peterson Health Clinic LLC
Same address
Chiropractor
815 LINCOLN HIGHWAY, SUITE 109
Fairview Heights, IL 62208
  • Reassigned Medicare billing, Illinois enrollment
NPI 1376813378 (618) 589-3911

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
263 services18 patients

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 Ronald Peterson's NPI number?

The NPI number for Ronald Peterson is 1891064226. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Ronald Peterson located?

Ronald Peterson practices at 815 Lincoln Hwy Ste 101, Fairview Heights, IL 62208. The listed phone number is (618) 589-3911.

What is Ronald Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ronald Peterson enrolled in Medicare?

Yes. Ronald 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.

Which organization bills Medicare for Ronald Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Peterson reassigns Medicare benefits to Peterson Health Clinic LLC (Fairview Heights, IL). The 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 Ronald Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Peterson accept?

Health plans from Medica, Providence Health Plan and UnitedHealthcare list Ronald 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.

When was this NPI record last updated?

The NPPES record for Ronald Peterson was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.