DR. LANE C PETERSON (DO) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1992711766

DR. LANE C PETERSON (DO) is a healthcare provider. based in Wesley chapel, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. 05-34066 (KS). The NPI Number for DR. LANE C PETERSON (DO) is 1992711766

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. LANE C PETERSON (DO)
NPI
1992711766
Phone
(813) 388-2948
Address
27810 SUMMERGATE BLVD
Enumeration Date
31 July 2006
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8133955127
Graduation Year
2002 (24 years ago)
PAC ID
9830199439
Group Practice PAC ID
0547350068
Professional Enrollment ID
I20200914002004
Address ID
FL335401301ZE38011DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

Provider Addresses for DR. LANE C PETERSON (DO)

  • 27810 SUMMERGATE BLVD

    WESLEY CHAPEL, FL 335446919

    Phone: (813) 388-2948

    Fax: (813) 388-6827

    Type: Location

  • 12880 Metcalf Ave

    Overland Park, KS 662132622

    Phone: (913) 378-2100

    Type: Location

  • 38011 Arbor Ridge Dr

    Zephyrhills, FL 335401301

    Phone: (813) 395-5127

    Fax: (813) 355-3085

    Type: Location

  • 11946 Boyette Rd

    Riverview, FL 335695601

    Phone: (813) 388-2948

    Fax: (813) 574-7761

    Type: Location

  • 428 W Brandon Blvd

    Brandon, FL 335115002

    Phone: (813) 388-2948

    Fax: (813) 388-6827

    Type: Location

  • 2553, Windguard Circle, Wesley Chapel, Pasco County, Florida, 33544, United States

    WESLEY CHAPEL, FL 335447351

    Phone: (813) 388-2948

    Fax: (813) 388-6827

    Type: Location

  • 4405, Vieux Carre Circle, Vieux Carre, Tampa, Hillsborough County, Florida, 33613, United States

    TAMPA, FL 336133052

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,748.

Total Amount is formed as General ($1,748) + Research ($0) + Ownership ($0) = $1,748.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Vertos Medical, Inc. ($782).

Total Amount

$1,748

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,748

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-14

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
I20200914002004IPhysical Medicine And RehabilitationFLTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg1,42650$0
99214Established patient office or other outpatient visit, 30-39 minutes947296$0
80307Testing for presence of drug, by chemistry analyzers134102$0
99213Established patient office or other outpatient visit, 20-29 minutes10074$0
99204New patient office or other outpatient visit, 45-59 minutes7373$0
View full utilization report →

Insurance plans in this area (ZIP 33544)

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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: 0547350068View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physical Medicine And RehabilitationTN
Interventional Pain Management, Pain ManagementFL
Nurse PractitionerFL
Physical Therapist In Private PracticeFL
-FL
Physical Medicine And RehabilitationFL

Reviews

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Frequently asked questions

How do I look up DR. LANE C PETERSON (DO) by NPI?
Use NPI 1992711766 when you need to reference DR. LANE C PETERSON (DO) in forms, claims, or directories.
Does this profile mean DR. LANE C PETERSON (DO) is currently active?
Yes — DR. LANE C PETERSON (DO) appears active in the national provider directory.
What field does DR. LANE C PETERSON (DO) work in?
You can think of DR. LANE C PETERSON (DO) as practicing within Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Does DR. LANE C PETERSON (DO) practice in Florida?
You will see Wesley Chapel, Florida on file for DR. LANE C PETERSON (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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