DR. CHARLES SMITH PETERSON M.D.
NPI 1952302143
Family Medicine - Sports Medicine in Mesa, AZ

Q: What is Charles Peterson's NPI number?

The NPI number for Charles Peterson is 1952302143. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Charles Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Charles Peterson was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment

3130 E BASELINE RD, SUITE 101, MESA, AZ 85204(480) 558-3744(480) 558-3801 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2019, Oct 25, 2016 (2 updates tracked since 2016).

On this page

About Dr. Charles Smith Peterson M.d. NPPES

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

DR. CHARLES SMITH PETERSON M.D. (NPI 1952302143) is an individual sports medicine provider in Mesa, Arizona, licensed in Arizona (28027) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1998).

NPPES Registry Identity

NPI1952302143

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. CHARLES SMITH PETERSONCredential: M.D.

Location Address3130 E BASELINE RD, SUITE 101Mesa, AZ 85204-7290

Mailing Address8630 E Via De Ventura Ste 201Scottsdale, AZ 85258-3358 · (480) 558-3744 · Fax (480) 558-3801

Phone(480) 558-3744

Fax(480) 558-3801

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1998

Enumeration DateAugust 10, 2005

Last NPPES UpdateJuly 30, 20192 updates tracked since enumeration

✔ NPI 1952302143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in AZ · 28027

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

3130 E BASELINE RD, Mesa, AZ 85204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

Dr. Charles Smith Peterson 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 ID2769473529

PECOS Enrollment IDI20040520000546

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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

589 services63 patients

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.

207 services138 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.

135 services93 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.

115 services115 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

93 services72 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

85 services70 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

63 services40 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

38 services32 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

36 services35 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

31 services26 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

31 services31 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

27 services25 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

20 services11 patients

Incision of hip tendon through skin 27000

This procedure involves making a small cut through the skin to access the hip tendon. This is often done to repair or examine a tendon that may be causing discomfort or mobility issues. The goal is to alleviate pain and improve hip function.

19 services19 patients

Complete ultrasound scan of joint 76881

A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.

19 services16 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

18 services14 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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 9

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

NEXTCARE ARIZONA LLC

Clinic/Center (Urgent Care)

3130 E BASELINE RD, STE. 105
MESA, AZ 85204

Maricopa County (800) 819-8566

MORRIS CHIROPRACTIC INC

Chiropractor

3130 E BASELINE RD, STE 107
MESA, AZ 85204

Maricopa County (480) 345-1980

KIDS DENTAL 2 P.C.

Dentist (General Practice)

3130 E BASELINE RD, #103-104
MESA, AZ 85204

Maricopa County (480) 813-3423

DR. RAMON V BUENAVER MD

Pediatrics

3130 E BASELINE RD, SUITE 103
MESA, AZ 85204

Maricopa County (602) 867-1252

AFC PHYSICAL MEDICINE OF MESA, PLLC

Physical Medicine & Rehabilitation

3130 E BASELINE RD, SUITE 107
MESA, AZ 85204

Maricopa County (480) 345-1980

NICOLE JOANNE NORDINE PAC

Physician Assistant

3130 E BASELINE RD, STE 105
MESA, AZ 85204

Maricopa County (800) 819-8566

DANA LANDING URGENT CARE LLC

Clinic/Center (Urgent Care)

3130 E BASELINE RD, STE. 105
MESA, AZ 85204

Maricopa County (480) 776-1588

AFC PHYSICAL MEDICINE OF MESA, PLLC

Non-Pharmacy Dispensing Site

3130 E BASELINE RD, SUITE 107
MESA, AZ 85204

Maricopa County (480) 345-1980

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 Charles Peterson's NPI number?

The NPI number for Charles Peterson is 1952302143. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Charles Peterson located?

Charles Peterson practices at 3130 E Baseline Rd Suite 101, Mesa, AZ 85204. The listed phone number is (480) 558-3744.

What is Charles Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Charles Peterson enrolled in Medicare?

Yes. Charles 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 Charles Peterson accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Charles 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 Charles Peterson was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.