Kyle Petersen, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME155351 Issued in FL

Practice address

4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627

Phone

(561) 694-7776

Fax

(561) 694-3099

NPI assigned

Apr 9, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Rush Medical College of Rush University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians

Palm Beach Orthopaedic Institute PAGroup PAC ID 0547153389, 43 clinicians

Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• First at Home Inc Home health agency, Atlantis, FL, CCN 103188
• All Advanced Home Care Inc Home health agency, Delray Beach, FL, CCN 687288
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288
• Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score

73.56 of 100Reported as group

Quality

41.89

Promoting interoperability

100

Improvement activities

40

Cost

69.96

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.petersen.1@13081.direct.athenahealth.com
• Direct secure messaging: kpetersen20605@jupitermedicalcenter.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palm Beach Orthopaedic Institute PA

  • Orthopaedic Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1184796245

  Orthopaedic Surgery of the Spine

  Medicare reassignment Care Compare group NPD
• Bit Physical Therapy

  • Physical Therapy Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1841045259
  Care Compare group
• Fairway Physical Therapy LLC

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1376557090
  Care Compare group
• Palm Beach Orthopaedic Institute PA

  • Non-Pharmacy Dispensing Site
  • West Palm Beach, FL
  • NPI 1568882363

  Orthopaedic Surgery of the Spine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• All Advanced Home Care Inc

  • Home Health Agency
  • Delray Beach, FL
  • NPI 1992452155
  Care Compare affiliation
• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• First at Home Inc.

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1528365608
  Care Compare affiliation
• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Palm Beach Gardens Community Hospital, Inc.

  • General Acute Care Hospital
  • Palm Beach Gardens, FL
  • NPI 1144251216
  Care Compare affiliation
• St. Mary'S Medical Center, Inc

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1104280700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-694-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104627",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME155351",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Pes, PT
• Kurt Pessa, PHARMD
• Peter a.D. Rubin, M.D., P.a.
• Peter M. Habashy, PA
• Daniel Eric Peters, MD
• Jessica Lauren Peterson, PHARM.D.
• Lauren Peterson
• Cara Petrou
• Robert Pew Jr.
• Jamie Marie Pewitt

• Orthopaedic Surgery of the Spine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.