NPIMap

Timothy D Peterson, MD PC

A Medicare group practice based in Taos Ski Valley, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5799805040), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5799805040The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Emergency Medicine, Part B Supplier - Clinic/Group Practice
Enrolled in
NM
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20100930040166 NM DME Supplier - Physician - Emergency Medicine 1073818555
O20111207000472 NM Part B Supplier - Clinic/Group Practice 1073818555

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (5).

Sources for this page