JOHN PETERSEN MD
NPI 1972506442
Internal Medicine in Midland, TX

Q: What is John Petersen's NPI number?

The NPI number for John Petersen is 1972506442. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Q: What is John Petersen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for John Petersen was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment

4705 BRIARWOOD AVENUE, MIDLAND, TX 79707(432) 505-4145(833) 941-0864 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About John Petersen Md NPPES

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

JOHN PETERSEN MD (NPI 1972506442) is an individual internal medicine provider in Midland, Texas, licensed in Texas (Q0536) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Midland Memorial Hospital, and maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1972506442

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJOHN PETERSENCredential: MD

Location Address4705 BRIARWOOD AVENUEMidland, TX 79707-2639

Mailing Address4705 Briarwood AvenueMidland, TX 79707-2639 · (432) 505-4145 · Fax (833) 941-0864

Phone(432) 505-4145

Fax(833) 941-0864

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1991

Enumeration DateMay 27, 2005

Last NPPES UpdateMarch 12, 2025

NPPES CertifiedMarch 12, 2025

✔ NPI 1972506442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · Q0536

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License G74917 (CA)

4705 BRIARWOOD AVENUE, Midland, TX 79707

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Secondary Practice Location 1

Location 16950 Eastridge RoadOdessa, TX 79765-8971 · Phone (432) 505-4145 · Fax (833) 941-0862

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

John Petersen 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 ID4880667062

PECOS Enrollment IDI20140915002051

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

181 services179 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

159 services153 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

31 services31 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450133

Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79707 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 10

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

MS. TERESA LEILA CALLAHAN FNP

Nurse Practitioner (Family)