James Robert Petersen, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5698 Issued in OK

Practice address

1407 N Whisenant Dr
Duncan, OK 73533

Phone

(580) 252-5300

NPI assigned

Jul 3, 2013

Last updated

Jul 26, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Merit-based Incentive Payment System (MIPS)

Final score

94.97 of 100Reported as individual

Quality

91.31

Improvement activities

40

Cost

79.05

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Centurion Emergency Partners LLC

  • Emergency Medicine Physician
  • Duncan, OK
  • NPI 1750112942
  Medicare reassignment NPD Authorized official
• Duncan Regional Hospital, Inc

  dba JCH Physicians

  • Family Medicine Physician
  • Waurika, OK
  • NPI 1699318147

  Emergency Medicine

  Medicare reassignment NPD
• Elite Hospital Partners of Oklahoma

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1154104404
  Medicare reassignment NPD
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Jackson County Memorial Hospital Authority

  dba Harmon Memorial Hospital

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  Medicare reassignment NPD
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795
  Medicare reassignment NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment NPD
• Summit Respiratory Solutions

  • Registered Respiratory Therapist
  • Duncan, OK
  • NPI 1245150176
  Authorized official Same address or phone
• Duncan Regional Hospital, Inc

  dba DRH Physicians

  • Multi-Specialty Clinic/Center
  • Duncan, OK
  • NPI 1942918214
  NPD
• Duncan Regional Hospital Inc

  dba Jefferson County Hospital

  • Critical Access Hospital
  • Waurika, OK
  • NPI 1518405331
  NPD (past)
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1992145098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 WILDWOOD PL",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331805",
            "telephone_number": "918-352-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N WHISENANT DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-252-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levi Allen Patterson
• Carole Dian Pelham Maxfield, LPC, LMFT
• Reggie Darnell Pennypacker, APRN-CNP
• Erica Perez, COTA
• Grace Elizabeth Peters, PA-C
• Taylor Petersen
• Paula Phelps
• Phil Moyer MD PLLC
• Carmen Anne Phillippi, APRN FNP-C
• Lillian Rebecca Phillips

• Emergency Medicine Physician in Duncan, OK
• Providers in Duncan, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.