MR. BENDT P III PETERSEN (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1477510915
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
487 ORTHOPEDIC SURGERY in AL
Provider Addresses for MR. BENDT P III PETERSEN (M.D.)
6701, Airport Boulevard, Huntleigh Woods, Mobile, Mobile County, Alabama, 36608, United States
BUILDING D SUITE 100
MOBILE, AL 36608
Phone: (251) 607-6117
Fax: (251) 219-0746
Type: Mailing
6701 AIRPORT BLVD STE 100
MOBILE, AL 366086701
Phone: (251) 607-6117
Fax: (251) 219-0746
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $366.
Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($240).
Total Amount
$366
General + Research + Ownership
Payments
9
Total payment records
General Amount
$366
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $240 |
| Baxter Healthcare | $51 |
| Life Spine, Inc. | $48 |
| Ethicon US, LLC | $14 |
| Arteriocyte Medical Systems, Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-06-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120615000477 | I | Orthopedic Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 364 | 51 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 200 | 28 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 126 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 68 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 88 | 40 | $0 |
Insurance plans in this area (ZIP 36608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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