DAVID IAN PETERSON PA
NPI 1891482360
Physician Assistant - Medical in Castle Rock, CO

NPI Status: Active since April 24, 2023

Contact Information

2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO
ZIP 80109
Phone: (303) 842-2362

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  • Individual
  • Male
  • Years of Experience 3
  • Physician Assistant
  • Medical
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About DAVID PETERSON

David Peterson is a primary care provider established in Castle Rock, Colorado and his medical specialization is Physician Assistant with a focus in medical with more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1891482360 assigned on April 2023. The practitioner's primary taxonomy code is 363AM0700X with license number PA.0007841 (CO). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1891482360
Provider Name
DAVID IAN PETERSON PA
Gender
Male
Entity Type
Individual
Location Address
2352 MEADOWS BLVD STE 300 CASTLE ROCK, CO 80109
Location Phone
(303) 842-2362
Mailing Address
2352 MEADOWS BLVD STE 300 CASTLE ROCK, CO 80109
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
04-24-2023
Last Update Date
08-04-2023
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A primary care provider (PCP) like David Peterson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

David Peterson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA.0007841
License State
CO

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA.0007841 (CO)

PECOS Enrollment and Medicare Participation Status

David Peterson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9234591504

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230817003947

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Peterson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CASTLE ROCK ADVENTIST HOSPITAL2350 MEADOWS BLVD
CASTLE ROCK, CO 80109
(720) 455-2500Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891482360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181884312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 8 + 8 + 4 + 3 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1891482360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386041929CASTLE ROCK ORTHOPAEDICS & SPORTS MEDICINE PC
Organization
Orthopaedic Surgery2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 525-8123
1962479766DR. DAYNE MATTHEW NELSON M.D.
Individual
Urology2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-0670
1912012733 BILLY JOE PAGE DO
Individual
Orthopaedic Surgery (Hand Surgery)2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3775
1497223168 ALEXIS AMBER KEMP NP
Individual
Nurse Practitioner (Family)2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3570
1285259390ROCKY MOUNTAIN PEDIATRIC UROLOGY, PC
Organization
Urology (Pediatric Urology)2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(303) 839-7200
1598027336 JESSICA NICOLE HARNESS
Individual
Urology2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-0670
1336758838PORTERCARE ADVENTIST HEALTH SYSTEM
Organization
Otolaryngology2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(303) 274-2544
1699386664PORTERCARE ADVENTIST HEALTH SYSTEM
Organization
Family Medicine2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3751
1497350706PORTERCARE ADVENTIST HEALTH SYSTEM
Organization
Internal Medicine2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(303) 269-2860
1508452707PEDIATRIC ENDOCRINE ASSOCIATES, P.C.
Organization
Pediatrics (Pediatric Endocrinology)2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(303) 783-3883
1144816679ASSOCIATES OF OTOLARYNGOLOGY, P.C.
Organization
Specialist2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(303) 607-4134
1295344786PORTERCARE ADVENTIST HEALTH SYSTEM
Organization
Internal Medicine (Gastroenterology)2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3879
1356755979 MING WU M.D., PH.D.
Individual
Family Medicine2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3750
1992377683COLORADO ALLERGY AND ASTHMA CENTERS, PC
Organization
Specialist2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 858-7470
1780261180ENT SPECIALISTS OF THE ROCKIES
Organization
Otolaryngology2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 897-7160
1679238331 MYKA ANN MURPHY NP
Individual
Nurse Practitioner (Family)2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3750
1457555096MRS. DIANE GANDY GARDNER M.S., CCC-A
Individual
Audiologist2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3800
1194454512PORTERCARE ADVENTIST HEALTH SYSTEM
Organization
Neurological Surgery2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 638-7500
1215455993ORTHOPEDIC CENTERS OF COLORADO
Organization
Orthopaedic Surgery2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(303) 744-7078
1417271420 MANEESH KUMAR GUPTA M.D.
Individual
Internal Medicine (Gastroenterology)2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109
(720) 455-3879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891482360, enumerated in the NPI registry as an "individual" on April 24, 2023

The provider is located at 2352 Meadows Blvd Ste 300 Castle Rock, Co 80109 and the phone number is (303) 842-2362

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 3 years of experience.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): CASTLE ROCK ADVENTIST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 24, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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