ANDREW JOSEPH PETERSON MD
NPI 1952783698
Family Medicine in Fulton, MO
About Andrew Joseph Peterson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW JOSEPH PETERSON MD (NPI 1952783698) is an individual family medicine provider in Fulton, Missouri, licensed in Illinois (036145425) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew Joseph 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Godfrey, IL 62035
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1730788902 (Illinois)
- 183 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blessing Hospital
Acute Care Hospitals · Quincy, ILSt Mary Medical Center
Acute Care Hospitals · Galesburg, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Saint Luke Medical Center
Critical Access Hospitals · Kewanee, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Andrew Peterson's NPI number?
The NPI number for Andrew Peterson is 1952783698. It was assigned to this individual provider in the NPPES registry on June 18, 2015.
Where is Andrew Peterson located?
Andrew Peterson practices at 110 N Hospital Dr, Fulton, MO 65251. The listed phone number is (573) 642-5911.
What is Andrew Peterson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Andrew Peterson enrolled in Medicare?
Yes. Andrew 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.
Which organizations bill Medicare for Andrew Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Peterson reassigns Medicare benefits to 2 organizations: Osf Healthcare System (Godfrey, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andrew Peterson affiliated with any hospitals?
According to CMS data, Andrew Peterson is affiliated with Blessing Hospital, St Mary Medical Center, Saint Francis Medical Center and Osf Saint Luke Medical Center.
When was this NPI record last updated?
The NPPES record for Andrew Peterson was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Andrew Joseph Peterson, MD · NPI 1952783698
Family Medicine physician in Fulton, Missouri. Individual provider, active in the CMS NPPES registry since June 18, 2015.
## Identity
- **NPI:** 1952783698 (Entity type: Individual)
- **Enumerated:** June 18, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036145425 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 N HOSPITAL DR, Fulton, MO 65251-2511
- **Phone:** (573) 642-5911 · **Fax:** (573) 642-3015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Osf Healthcare System (NPI 1861041980, Godfrey, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2015
## Record status
- **NPPES last updated:** November 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952783698) · Data from the CMS NPPES public registry.