DR. PAUL LEWIS PETERSEN (MD) – Emergency Medicine Physician, NPI 1255437109
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
Provider Addresses for DR. PAUL LEWIS PETERSEN (MD)
2845 Aventura Blvd
Aventura, FL 331803118
Phone: (305) 692-1000
Type: Location
6050 W 20th Ave
Hialeah, FL 330162605
Phone: (786) 584-5000
Fax: (786) 584-5112
Type: Location
4300 Alton Rd
Miami Beach, FL 331402948
Phone: (305) 481-9776
Fax: (305) 674-2007
Type: Location
5901, Southwest 74th Street, South Miami, Miami-Dade County, Florida, 33143, United States
SUITE 202
MIAMI, FL 331435165
Phone: (305) 665-4614
Fax: (305) 667-0239
Type: Mailing
Mercy Hospital, 3663, South Miami Avenue, Bay Heights, Miami, Miami-Dade County, Florida, 33133, United States
MIAMI, FL 331334253
Phone: (305) 665-4614
Fax: (305) 667-0239
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Mindray DS USA, Inc. ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mindray DS USA, Inc. | $31 |
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: 2004-07-07
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 |
|---|---|---|---|---|
| I20040707000551 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 285 | 277 | $0 |
| 99291 | Critical care, first 30-74 minutes | 162 | 155 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 107 | 104 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | WA | |
| - | MI | |
| - | FL | |
| - | FL | |
| - | MD | |
| General Surgery | IL | |
| Emergency Medicine | FL | |
| A N E S T H E S I O L O G Y | IL |
Reviews
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