Christopher C Peterson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P3789 Issued in TX

Practice address

2142 Sunset Dr
San Angelo, TX 76904-6829

Phone

(325) 245-4059

Fax

(325) 245-4059

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

University of Texas Medical School at Houston, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Eastland, TX, CCN 457128
• Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
• Country Home Health Home health agency, San Angelo, TX, CCN 679469
• Shannon Home Health Services Home health agency, San Angelo, TX, CCN 457646
• Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
• Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
• Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310
• Heart of Texas Memorial Hospital Hospital, Brady, TX, CCN 451348

Merit-based Incentive Payment System (MIPS)

Final score

82.63 of 100Reported as group

Quality

78.21

Promoting interoperability

96

Improvement activities

40

Cost

67.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpetterson38929@shannonhealth.direct-ci.com

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.

• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  Medicare reassignment Care Compare group NPD
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585

  Family Medicine

  NPD
• Regional Employee Assistance Program Inc

  • General Practice Physician
  • San Angelo, TX
  • NPI 1750302923
  NPD
• Columbia Medical Group-Southern Hills Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1700873171
  NPD (past)
• Maury Regional Ambulatory Care Center Inc.

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1336190214
  NPD (past)
• Medical Group-Southern Hills of Nolensville LLC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1114071883
  NPD (past)

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

• 1St Texas Home Health of San Angelo, Inc.

  • Home Health Agency
  • San Angelo, TX
  • NPI 1942205125
  Care Compare affiliation
• Ballinger Memorial Hospital District

  • Land Ambulance
  • Ballinger, TX
  • NPI 1215991039

  Hospital

  Care Compare affiliation
• Ballinger Memorial Hospital District

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1225038938
  Care Compare affiliation
• Eh of West Texas, LP

  • Home Health Agency
  • Abilene, TX
  • NPI 1942227459
  Care Compare affiliation
• Heart of Texas Healthcare System

  • Critical Access Hospital
  • Brady, TX
  • NPI 1558349399
  Care Compare affiliation
• Home Preferred Senior Care 9, LLC

  • Home Health Agency
  • San Angelo, TX
  • NPI 1285653493
  Care Compare affiliation
• Integracare Home Health Services Inc.

  • Home Health Agency
  • Eastland, TX
  • NPI 1326057779
  Care Compare affiliation
• Shannon Medical Center

  • Home Health Agency
  • San Angelo, TX
  • NPI 1225031446
  Care Compare affiliation
• Shannon Medical Center

  • General Acute Care Hospital
  • San Angelo, TX
  • NPI 1992707228
  Care Compare affiliation

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1164535282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046829",
            "telephone_number": "325-245-4191",
            "fax_number": "325-245-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046829",
            "telephone_number": "325-245-4059",
            "fax_number": "325-245-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314692001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith D. Perkins, BS PT
• Kenneth Adrian Perret II, M.D.
• Nyssah Dawn Perrine, RN, FPMHNP-BC
• Avery Daulton Peters, OT
• Ronald A Peters, DDS
• Randhi Wijekularatne Peterson, MD
• Timothy Peterson, M.D.
• Amanda Petterson, CPHT
• Larry D. Petty, MD
• Amy Lin Pfluger, LCSW

• Family Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.