MICHAEL JAMES PETERSEN M.D.
NPI 1902899057
Surgery - Vascular Surgery in East Setauket, NY

Q: What is Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1902899057. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on June 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

4 TECHNOLOGY DR, SUITE 120, EAST SETAUKET, NY 11733(631) 246-8289(631) 246-8294 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael James Petersen M.d. NPPES

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

MICHAEL JAMES PETERSEN M.D. (NPI 1902899057) is an individual vascular surgery provider in East Setauket, New York, licensed in New York (175936) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Baylor College Of Medicine (1986).

NPPES Registry Identity

NPI1902899057

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameMICHAEL JAMES PETERSENCredential: M.D.

Location Address4 TECHNOLOGY DR, SUITE 120East Setauket, NY 11733-4068

Mailing Address4 Technology Dr, Suite 120East Setauket, NY 11733-4068 · (631) 246-8289 · Fax (631) 246-8294

Phone(631) 246-8289

Fax(631) 246-8294

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 1986

Enumeration DateAugust 24, 2005

Last NPPES UpdateJune 6, 2016

✔ NPI 1902899057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in NY · 175936

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSpecialistTaxonomy 174400000X · License 175936 (NY)

4 TECHNOLOGY DR, East Setauket, NY 11733

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Other Identifiers 11

Other0714028004NY · Cigna Healthcare

Other990015026NY · Rr Medicare

OtherCS1072NY · Oxford Health Plans

Other2C4298NY · Healthnet

Other2110430NM · Aetna Health Plans

OtherS500051NY · Suffolk Health Plans

Other11347567803NY · 1199 Benefit Fund

OtherGHI PPO CBPNM · 0103702

Other1261940NY · United Healthcare

Medicare UPINF91904NY

Medicare PIN68J011NY

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

Michael James Petersen M.d. 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 ID7810924974

PECOS Enrollment IDI20050720000455

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 21

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

332 services225 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

201 services89 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

155 services124 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

139 services35 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

114 services101 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

113 services106 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.

109 services43 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

101 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

101 services25 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

76 services24 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

70 services59 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.

64 services64 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

57 services51 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

31 services22 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.

29 services29 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

19 services12 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

19 services13 patients

Complete ultrasound study of arm and leg arteries 93923

17 services17 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

15 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%200 patients1/55-star benchmark: 93%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%50 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

45%2,133 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

15%793 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%795 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,892 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 479 patients

0%479 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

70%154 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 550 patients

Patients totalRate: 0% · 550 patients

0%550 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier19 claims2,120 services$0.10 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

1 supplier15 claims1,728 services$0.37 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

1 supplier15 claims15 services$10.60 avg. paid by Medicare

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$114.92 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$15.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JAMES BERNASKO M.D

Obstetrics & Gynecology (Maternal & Fetal Medicine)

4 TECHNOLOGY DR, STONY BROOK UNIVERSITY PHYSICIANS
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4686

DR. MELISSA STRAFFORD M.D.

Obstetrics & Gynecology

4 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4686

DR. STUART MARC HOLZER M.D.

Pediatrics (Pediatric Cardiology)

4 TECHNOLOGY DR, SUITE 250
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4601

CRISTIN ROSE GENGLER CPNP

Nurse Practitioner (Pediatrics)

4 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-2700

SETAUKET SURGERY, PC

Surgery

4 TECHNOLOGY DR, SUITE 220
EAST SETAUKET, NY 11733

Suffolk County (631) 476-9296

DR. JACK OATS M.D.

Ophthalmology

4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733

Suffolk County (631) 941-1400

DR. JOHN R WITTPENN M.D.

Ophthalmology

4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733

Suffolk County (631) 941-1400

NORTH SUFFOLK FAMILY MEDICAL CARE PLLC

Family Medicine (Adult Medicine)

4 TECHNOLOGY DR, SUITE 210
EAST SETAUKET, NY 11733

Suffolk County (631) 331-1506

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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1902899057. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Michael Petersen located?

Michael Petersen practices at 4 Technology Dr Suite 120, East Setauket, NY 11733. The listed phone number is (631) 246-8289.

What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Michael Petersen enrolled in Medicare?

Yes. Michael Petersen 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.

Is Michael Petersen affiliated with any hospitals?

According to CMS data, Michael Petersen is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on June 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.