SALLIE PETERS (PA) – Surgical Physician Assistant, NPI 1396158192
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for SALLIE PETERS (PA)
500 W 144TH AVE STE 120
WESTMINSTER, CO 800239326
Phone: (720) 627-4980
Fax: (720) 627-4981
Type: Mailing
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 800336028
Phone: (303) 665-2603
Fax: (303) 665-2605
Type: Mailing
3455 Lutheran Pkwy Ste 105
Wheat Ridge, CO 800336028
Phone: (303) 665-2603
Fax: (303) 665-2605
Type: Location
80 Health Park Dr
Suite 230
Louisville, CO 800279584
Phone: (303) 665-2603
Fax: (303) 665-2605
Type: Location
500 W 144TH AVE STE 230
WESTMINSTER, CO 800239328
Phone: (303) 665-2603
Fax: (303) 665-2605
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,228.
Total Amount is formed as General ($1,228) + Research ($0) + Ownership ($0) = $1,228.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Gemini Mountain Medical, LLC ($752).
Total Amount
$1,228
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gemini Mountain Medical, LLC | $752 |
| Arthrex, Inc. | $195 |
| Ferring Pharmaceuticals Inc. | $79 |
| Zimmer Biomet Holdings, Inc. | $52 |
| Smith+Nephew, Inc. | $30 |
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: 2014-11-11
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 |
|---|---|---|---|---|
| I20141111002031 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 276 | 23 | $0 |
| 73560 | X-ray of knee, 1-2 views | 52 | 32 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 40 | 27 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 25 | 25 | $0 |
| 73502 | X-ray of hip, 2-3 views | 22 | 11 | $0 |
Insurance plans in this area (ZIP 80023)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CO | 27447 | Repair of knee joint | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
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