DIRK PETERSON (M.D.) – Gynecology Physician, NPI 1770570475

DIRK PETERSON (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME69232 (FL). The NPI Number for DIRK PETERSON (M.D.) is 1770570475

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DIRK PETERSON (M.D.)
NPI
1770570475
Phone
(239) 424-2060
Address
PO BOX 2147
Enumeration Date
29 September 2005
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
2394241900
Graduation Year
1994 (32 years ago)
PAC ID
5496850604
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20070417000505
Address ID
FL339903027CA1138XBLVD400

Contacts

Secure Messaging
dpeterson414@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DIRK PETERSON (M.D.)

  • Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States

    FORT MYERS, FL 339022147

    Phone: (239) 424-2060

    Fax: (239) 424-2061

    Type: Mailing

  • Del Prado Boulevard South, Cape Coral, Lee County, Florida, 33904, United States

    CAPE CORAL, FL 33990

    Phone: (239) 424-2060

    Fax: (239) 424-2061

    Type: Location

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: 2007-04-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070417000505IObstetrics/GynecologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5652$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1111$0
View full utilization report →

Insurance plans in this area (ZIP 33902)

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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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

How do payers reference DIRK PETERSON (M.D.)?
For DIRK PETERSON (M.D.), use NPI 1770570475 as the unique 10-digit identifier.
Active or inactive — what applies to DIRK PETERSON (M.D.)?
You should see DIRK PETERSON (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DIRK PETERSON (M.D.)'s focus?
For DIRK PETERSON (M.D.), the primary taxonomy reads as Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DIRK PETERSON (M.D.)?
Directory geography for DIRK PETERSON (M.D.) centers on Fort Myers, Florida.
Can I trust this NPI listing for DIRK PETERSON (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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