Active NPI
Aaron M Petersen, MD
- Ophthalmology Physician
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 32807
- Practice address
- 560 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5759 - Phone
- (520) 426-9224
- Fax
- (602) 508-4830
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 32807 | AZ | Primary |
Addresses
Primary practice location
560 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5759
Mailing address
63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (480) 892-8400
Other practice location 1
4800 N 22nd St Ste 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 883323 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Arizona College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 S Stapley Dr
Mesa, AZ 85204-5013
Phone (480) 833-9100
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.66 of 100
- Quality
- 84.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32807 | AZ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Eye Center LTD | Ophthalmology | Current | Accepting new patients |
| Southwestern Eye Center, LTD | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Ophthalmology | Past | Accepting new patients |
| Southwestern Eye Center LTD | Past | Accepting new patients |
Locations (25 of 50)
41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295
110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241
110 S Idaho Rd
Ste 260
Apache Junction, AZ 85119
Phone (480) 485-9580
3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555
560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224
560 N Camino Mercado
Casa Grande, AZ 85122
399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504
371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000
270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202
350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500
5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922
101 S La Canada Dr
Ste 18
Green Valley, AZ 85614
Phone (520) 625-5673
1919 Florence Ave
Kingman, AZ 86401
Phone (520) 753-5454
5658 Highway 260
Ste 3
Lakeside, AZ 85929
Phone (928) 537-5614
40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020
2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696
383 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-1144
2610 E University Dr
Mesa, AZ 85213
1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100
160 W University Dr
Mesa, AZ 85201
Phone (480) 833-0014
5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005
4760 E Falcon Dr
Mesa, AZ 85215
Phone (480) 985-7400
160 W University Dr
Ste 1
Mesa, AZ 85201
Phone (480) 833-0014
4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400
1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533
Interoperability endpoints
- aaron.petersen@direct.avp.nextgenshare.com
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.
-
- Ophthalmology Physician
- Scottsdale, AZ
- NPI 1023063187
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1558102608
-
- Ophthalmology Physician
- Flagstaff, AZ
- NPI 1689619272
-
- Ambulatory Surgical Clinic/Center
- Casa Grande, AZ
- NPI 1275569121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1972575140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 S ROCKFORD DR STE 220",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852886226",
"telephone_number": "480-892-8400",
"fax_number": "602-508-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 N CAMINO MERCADO STE 1",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225759",
"telephone_number": "520-426-9224",
"fax_number": "602-508-4830"
}
],
"practiceLocations": [
{
"address_1": "4800 N 22nd St Ste 120",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850164962",
"country_code": "US",
"telephone_number": "602-955-1000",
"fax_number": "602-508-4830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSEN",
"first_name": "AARON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "32807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "883323",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.