MARK A PETERSON (MD) – Family Medicine Physician, NPI 1407810898
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
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Provider Addresses for MARK A PETERSON (MD)
PO BOX 309
1300 BRADEN ST
JACKSONVILLE, AR 72076
Phone: (501) 985-5900
Fax: (501) 985-6016
Type: Mailing
1300, Braden Street, Jacksonville, Pulaski County, Arkansas, 72076, United States
JACKSONVILLE, AR 720763719
Phone: (501) 985-5900
Fax: (501) 985-6016
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Abbott Laboratories ($152).
Total Amount
$285
General + Research + Ownership
Payments
15
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $152 |
| Otsuka America Pharmaceutical, Inc. | $28 |
| PFIZER INC. | $27 |
| AstraZeneca Pharmaceuticals LP | $20 |
| Amgen Inc. | $18 |
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: 2006-10-06
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 |
|---|---|---|---|---|
| I20061006000565 | I | Family Practice | AR | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 3,840 | 39 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,467 | 323 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 995 | 513 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 828 | 489 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 697 | 461 | $0 |
Insurance plans in this area (ZIP 72076)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| Family Practice | AR | |
| Family Practice | AR | |
| - | AR | |
| Internal Medicine, Pediatric Medicine | OH | |
| Family Practice | AR | |
| Family Practice | AR | |
| - | AR | |
| Family Practice | AR | |
| - | AR |
Reviews
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