PAUL CARL PETERSON MD
NPI 1891780862
Neurological Surgery in Knoxville, TN

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
501 20TH ST, SUITE 503, KNOXVILLE, TN 37916(865) 541-4321(865) 541-4320 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Carl Peterson Md NPPES

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

PAUL CARL PETERSON MD (NPI 1891780862) is an individual neurological surgery provider in Knoxville, Tennessee, licensed in Tennessee (MD0000027743) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and is a graduate of Wayne State University School Of Medicine (1990).

NPPES Registry Identity

NPI1891780862
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePAUL CARL PETERSONCredential: MD
Location Address501 20TH ST, SUITE 503Knoxville, TN 37916-1809
Mailing Address501 20th St, Suite 503Knoxville, TN 37916 · (865) 541-4321 · Fax (865) 541-4320
Fax(865) 541-4320
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1990
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
NPI 1891780862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TN · MD0000027743
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
501 20TH ST, Knoxville, TN 37916

Other Identifiers 1

Medicaid3099553TN

Accepted 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

Paul Carl Peterson Md 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 ID749387561
PECOS Enrollment IDI20070511000587
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.

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.
48 services28 patients
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.
39 services39 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 20

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

Anesthesiology (Pain Medicine)
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Colon & Rectal Surgery
501 20TH ST, SUITE 501
KNOXVILLE, TN 37916
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Nurse Practitioner (Family)
501 20TH ST, SUITE 404
KNOXVILLE, TN 37916
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
KNOXVILLE, TN 37916
Anesthesiology
501 20TH ST
KNOXVILLE, TN 37916

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 Paul Peterson's NPI number?

The NPI number for Paul Peterson is 1891780862. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Paul Peterson located?

Paul Peterson practices at 501 20th St Suite 503, Knoxville, TN 37916. The listed phone number is (865) 541-4321.

What is Paul Peterson's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Paul Peterson enrolled in Medicare?

Yes. Paul 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 Paul Peterson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Paul 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.

Is Paul Peterson affiliated with any hospitals?

According to CMS data, Paul Peterson is affiliated with Morristown Hamblen Hospital Association and Fort Sanders Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Peterson was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.