DR. SPENCER O'BRIEN PETERSON D.O. - NPI 1962851667

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Dr. Spencer O'brien Peterson D.o. NPPES

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

DR. SPENCER O'BRIEN PETERSON D.O. (NPI 1962851667) is an individual pediatrics provider in Tucson, Arizona, licensed in Utah (11236456-1204) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962851667

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SPENCER O'BRIEN PETERSONCredential: D.O.

Location Address4175 S. ALAMO AVETucson, AZ 85707-4405

Mailing Address4175 S. Alamo AveTucson, AZ 85707-4405 · (520) 228-2700

Phone(520) 228-2700

Sole ProprietorNo

Enumeration DateJune 3, 2016

Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration

NPPES CertifiedAugust 10, 2020

✔ NPI 1962851667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 11236456-1204

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License R-07-2016MNT (NM)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4175 S. ALAMO AVE, Tucson, AZ 85707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Spencer O'brien Peterson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85707 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 15

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

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