Individual provider Active NPI

Shaun N Peterson, MD

  • Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1861472656
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
65052 Issued in AZ
Practice address
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone
(520) 784-6200
Fax
(520) 784-6445
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 65052 AZ Primary
Orthopaedic Surgery Physician 207X00000X MD10803 HI
Orthopaedic Surgery Physician 207X00000X MD60145041 WA
Orthopaedic Surgery Physician 207X00000X A97027 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD60145041 WA

Addresses

Primary practice location

5301 E Grant Rd
Tucson, AZ 85712-2805

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200

Other identifiers 2

IdentifierTypeStateIssuer
100566MedicaidAZ
00A970270OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20211108000584 AZ Practitioner - Orthopedic Surgery 2163525155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Orthopaedic Institute Professional CorporationGroup PAC ID 5799671905, 108 clinicians

Practice addresses (Care Compare)

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 784-6200

Hospital & facility affiliations

  • Dependable Home Health, Inc Home health agency, Tucson, AZ, CCN 037070
  • Haven Home Health Care Home health agency, Tucson, AZ, CCN 037494
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement47
Knee replacement45
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)17
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65052AZMDOrthopaedic Surgery Physician
A97027CAMDOrthopaedic Surgery Physician
MD10803HIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Nov 15, 2022 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Nov 15, 2022 Accepting new patients
Asdrubal I Lopez, DC, PS CurrentSince Aug 7, 2022 Accepting new patients
Valley Children'S Specialty Medical Group, Inc. Past Accepting new patients

Locations

450 W Continental Rd
Green Valley, AZ 85622
Phone (520) 393-0965

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

395 N Silverbell Rd
Ste 101
Tucson, AZ 85745
Phone (520) 882-0696

5301 E Grant Rd
Bldg 1
Tucson, AZ 85712

6320 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 219-9125

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

Interoperability endpoints

  • Direct secure messaging: speterson@tucsonortho.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1861472656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHAUN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "65052",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD10803",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60145041",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A97027",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "MD60145041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100566",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A970270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.