MARY KAY PETERSON (MD) – Diagnostic Radiology Physician, NPI 1508805656

MARY KAY PETERSON (MD) is a healthcare provider. based in Fort myers, Florida. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. ME77132 (FL). The NPI Number for MARY KAY PETERSON (MD) is 1508805656

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MARY KAY PETERSON (MD)
NPI
1508805656
Phone
(239) 936-2316
Address
3660 BROADWAY
Enumeration Date
5 June 2006
Last Update Date
29 May 2008

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
2393431000
Graduation Year
1993 (33 years ago)
PAC ID
9234192253
Group Practice PAC ID
3274858295
Professional Enrollment ID
I20041110000243
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MARY KAY PETERSON (MD)

  • 3660, Broadway, Tropical Trailer Park, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 339018005

    Phone: (239) 936-2316

    Type: Mailing

  • 3680, Broadway, Tropical Trailer Park, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 339018005

    Phone: (239) 936-2316

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Boston Scientific Corporation ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33901)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274858295View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MARY KAY PETERSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY KAY PETERSON (MD) uses 1508805656.
Is MARY KAY PETERSON (MD) listed as active for patients and plans?
The listing shows MARY KAY PETERSON (MD) as active in the NPI system.
What is MARY KAY PETERSON (MD)'s specialty?
The listing groups MARY KAY PETERSON (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does MARY KAY PETERSON (MD) list a practice location?
Patients near Fort Myers, Florida may find MARY KAY PETERSON (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

WILLIAM J III FORD (M.D.)

Diagnostic Radiology Physician
Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States
NPI: 1013910702
2932 PUMP HOUSE RD
NPI: 1104821297
3680 BROADWAY
NPI: 1902803562

PHILIP AMATULLE (MD)

Diagnostic Radiology Physician
3660 BROADWAY
NPI: 1144227331

DR. DAVID JAMES INGLE (DO)

Diagnostic Radiology Physician
510 S KINGSHIGHWAY BLVD
NPI: 1700884491

DR. KALPANA S. DESHMUKH (MD)

Diagnostic Radiology Physician
PO BOX 1710
NPI: 1780682575

MARK HILBORN (MD)

Diagnostic Radiology Physician
Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States
NPI: 1750380457

THOMAS J ZEKAN (MD)

Diagnostic Radiology Physician
PO BOX 1111
NPI: 1497754105

DR. BERNADETTE R. CURTIS (M.D.)

Diagnostic Radiology Physician
1600 ARCH ST APT 1815
NPI: 1407858970