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DR. JAMES ROBERT PETERSEN D.O.
NPI 1992145098
Emergency Medicine in Duncan, OK

Active since July 03, 2013PECOS Enrolled
74.76/100
CMS Quality Rating
1407 N WHISENANT DR, DUNCAN, OK 73533(580) 252-5300 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Robert Petersen D.o. NPPES

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

DR. JAMES ROBERT PETERSEN D.O. (NPI 1992145098) is an individual emergency medicine provider in Duncan, Oklahoma, licensed in Oklahoma (5698) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Joplin.

NPPES Registry Identity

NPI1992145098
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES ROBERT PETERSENCredential: D.O.
Location Address1407 N WHISENANT DRDuncan, OK 73533
Mailing Address2608 Wildwood PlDuncan, OK 73533-1805 · (918) 352-0432
Phone(580) 252-5300
Sole ProprietorNo
Enumeration DateJuly 3, 2013
Last NPPES UpdateJuly 26, 2019
✔ NPI 1992145098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 5698
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1407 N WHISENANT DR, Duncan, OK 73533
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Secondary Practice Location 1

Location 11102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-4066

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.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. James Robert Petersen 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.

Areas of Expertise CMS Part B claims 5

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.
544 services498 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.
240 services233 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.
175 services168 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.
50 services49 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73533 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

74.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.07
Improvement Activities40
Cost53.61

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.

HCC DUNCAN INC
Hospitalist
1407 N WHISENANT DR
DUNCAN, OK 73533
Stephens County (866) 521-2544
JODIE FRANZEN CNS
Clinical Nurse Specialist (Perinatal)
1407 N WHISENANT DR
DUNCAN, OK 73533
Stephens County (580) 251-8242
MRS. MALLORY WINSLETT PT, DPT
Physical Therapist
1407 N WHISENANT DR
DUNCAN, OK 73533
Stephens County (580) 252-5300
MR. DUSTIN D RHOADES
Physical Therapy Assistant
1407 N WHISENANT DR
DUNCAN, OK 73533
Stephens County (580) 251-8100
MRS. BETH A WOOD OTR/L CHT
Occupational Therapist (Hand)
1407 N WHISENANT DR, DUNCAN REGIONAL HOSPITAL
DUNCAN, OK 73533
Stephens County (580) 251-8460
DR. CRISTINA KINKADE PHARM.D.
Pharmacist
1407 N WHISENANT DR
DUNCAN, OK 73533
Stephens County (580) 251-8786
DANNY CROCKETT PTA
Physical Therapy Assistant
1407 N WHISENANT DR
DUNCAN, OK 73533
Stephens County (580) 251-8460
JANICE F FOLDS RD,LD
Dietitian, Registered
1407 N WHISENANT DR
DUNCAN, OK 73533
Stephens County (580) 251-8461

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 James Petersen's NPI number?

The NPI number for James Petersen is 1992145098. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is James Petersen located?

James Petersen practices at 1407 N Whisenant Dr, Duncan, OK 73533. The listed phone number is (580) 252-5300.

What is James Petersen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Petersen enrolled in Medicare?

Yes. James Petersen is registered in the Medicare PECOS enrollment system.

What insurance does James Petersen accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list James Petersen 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 James Petersen was last updated on July 26, 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.