PAUL ARNOLD PETERSON (MD) – Internal Medicine Physician, NPI 1053336354
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PAUL ARNOLD PETERSON (MD)
PO BOX 200149
ANCHORAGE, AK 995200149
Phone: (907) 561-3211
Fax: (907) 562-7547
Type: Mailing
3841, Piper Street, Anchorage, Alaska, 99508, United States
SUITE T100
ANCHORAGE, AK 995084624
Phone: (907) 561-3211
Fax: (907) 562-7547
Type: Location
3841 Piper St
Suite T100
Anchorage, AK 995084624
Phone: (907) 561-3211
Fax: (907) 562-7547
Type: Location
PO BOX 4105
PORTLAND, OR 972084105
Phone: (907) 212-7997
Fax: (907) 212-8225
Type: Mailing
3300 PROVIDENCE DR STE B-104
ANCHORAGE, AK 995084690
Phone: (607) 212-7997
Fax: (907) 212-8225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060726000295 | I | Hospice/Palliative Care | AK | TBD |
| I20150422001516 | I | Interventional Cardiology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| - | AK | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | AK | |
| Nurse Practitioner | AK | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | AK | |
| Nurse Practitioner | AK | |
| Cardiovascular Disease (Cardiology) | AK | |
| Nurse Practitioner | AK | |
| - | AK | |
| Cardiovascular Disease (Cardiology), Internal Medicine | AK |
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