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DAVID IAN PETERSON PA
NPI 1891482360
Physician Assistant - Medical in Lone Tree, CO

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment
9101 KIMMER DR, LONE TREE, CO 80124(303) 424-2535(303) 835-4623 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Ian Peterson Pa NPPES

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

DAVID IAN PETERSON PA (NPI 1891482360) is an individual medical provider in Lone Tree, Colorado, licensed in Colorado (PA.0007841) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Castle Rock, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891482360
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAVID IAN PETERSONCredential: PA
Location Address9101 KIMMER DRLone Tree, CO 80124-8454
Mailing Address2352 Meadows Blvd Ste 300Castle Rock, CO 80109-8419
Phone(303) 424-2535
Fax(303) 835-4623
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 24, 2023
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1891482360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · PA.0007841
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0007841 (CO)
9101 KIMMER DR, Lone Tree, CO 80124
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Secondary Practice Location 1

Location 12352 Meadows Blvd Ste 300Castle Rock, CO 80109-8419 · Phone (303) 842-2362

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

David Ian Peterson Pa 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 ID9234591504
PECOS Enrollment IDI20230817003947
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
97 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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 David Peterson's NPI number?

The NPI number for David Peterson is 1891482360. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is David Peterson located?

David Peterson practices at 9101 Kimmer Dr, Lone Tree, CO 80124. The listed phone number is (303) 424-2535.

What is David Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Peterson enrolled in Medicare?

Yes. David 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.

What insurance does David Peterson accept?

Health plans from UnitedHealthcare list David 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 David Peterson was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.