JAMES LEE PETERSEN (PA-C) – Physician Assistant, NPI 1467672774
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for JAMES LEE PETERSEN (PA-C)
2127 E Harmony Rd
Suite 140
Fort Collins, CO 805283405
Phone: (970) 297-6250
Fax: (970) 297-6260
Type: Location
1025 PENNOCK PL STE 1421
FORT COLLINS, CO 805243257
Phone: (970) 495-8800
Fax: (970) 495-8820
Type: Mailing
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: 2019-06-19
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 |
|---|---|---|---|---|
| I20080528000280 | I | Physician Assistant | CO | TBD |
| I20190619002540 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 69 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
| 81003 | Automated urinalysis test | 27 | 24 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 21 | 21 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 80528)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | NC | |
| Physician Assistant | CO | |
| Physician Assistant | VA | |
| Family Practice | CO | |
| - | SC | |
| Nurse Practitioner | MN |
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