Lane C Peterson, DO

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

OS17115 Issued in FL

Practice address

27810 Summergate Blvd
Wesley Chapel, FL 33544-6919

Phone

(813) 388-2948

Fax

(813) 388-6827

NPI assigned

Jul 31, 2006

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

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Pain Management IncGroup PAC ID 0547350068, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Advanced Pain Management Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ormond Beach, FL
  • NPI 1740385350
  Medicare reassignment Care Compare group NPD
• Advanced Pain Management Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brandon, FL
  • NPI 1487439840
  NPD
• Healthnet Regional Center of Cuba, Inc..

  • Rural Health Clinic/Center
  • Cuba, MO
  • NPI 1164612818
  NPD (past)

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

• Florida Hospital Zephyrhills Inc

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1992711766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27810 SUMMERGATE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27810 SUMMERGATE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446919",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38011 Arbor Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335401301",
            "country_code": "US",
            "telephone_number": "813-395-5127",
            "fax_number": "813-355-3085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12880 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662132622",
            "country_code": "US",
            "telephone_number": "913-378-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11946 Boyette Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335695601",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-574-7761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 W Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115002",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LANE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "KS",
            "license": "05-34066",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS17115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Perkins, SFA
• Bryonna Perperian
• Shannon M Perrone, LCSW, CAP, RYT
• Dharam Persaud-Sharma, MD/PHD
• Jeanne E. Peterson, PSY.D.
• Tierney M Pettinato, DMD
• Jason Michael Petty, HIS
• Erika Marques Pfeiffer, LMT
• Nhathy Pham, O.D.
• Brandy Phillips

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.