SCOTT WILLIAM PETERSON (MD) – Vascular & Interventional Radiology Physician, NPI 1174528780
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for SCOTT WILLIAM PETERSON (MD)
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328918025
Phone: (352) 265-0290
Fax: (352) 265-0279
Type: Mailing
UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States
GAINESVILLE, FL 326103003
Phone: (352) 265-0290
Fax: (352) 265-0279
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $2,892.
Total Amount is formed as General ($2,892) + Research ($0) + Ownership ($0) = $2,892.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Penumbra, Inc. ($2,154).
Total Amount
$2,892
General + Research + Ownership
Payments
30
Total payment records
General Amount
$2,892
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $2,154 |
| Inari Medical, Inc. | $314 |
| Ethicon US, LLC | $167 |
| Balt USA, LLC | $130 |
| Hologic Sales and Service, LLC | $100 |
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: 2005-11-23
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 |
|---|---|---|---|---|
| I20051123000042 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 606 | 48 | $0 |
| 71045 | X-ray of chest, 1 view | 372 | 337 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 139 | 134 | $0 |
| 71046 | X-ray of chest, 2 views | 117 | 115 | $0 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 110 | 44 | $0 |
Insurance plans in this area (ZIP 32891)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 12 | 11 |
| DIAGNOSTIC RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 19 | 19 |
| DIAGNOSTIC RADIOLOGY | FL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | FL | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 63 | 61 |
| DIAGNOSTIC RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 48 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | OH | |
| - | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| H O S P I T A L I S T | FL | |
| N E U R O L O G Y | MO | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | MN | |
| Cardiovascular Disease (Cardiology) | FL |
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