DR. DANIEL A PETERSON (MD) – Diagnostic Radiology Physician, NPI 1902913304
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for DR. DANIEL A PETERSON (MD)
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone: (920) 457-4461
Fax: (920) 459-1412
Type: Location
2000 E LAYTON AVE
ST FRANCIS, WI 532356053
Phone: (414) 744-6589
Type: Location
3301,3305, West Forest Home Avenue, Layton Park, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
MILWAUKEE, WI 532152843
Phone: (414) 647-6326
Fax: (414) 671-8860
Type: Mailing
2414, Kohler Memorial Drive, Sheboygan, Sheboygan County, Wisconsin, 53081, United States
SHEBOYGAN, WI 53081
Phone: (920) 457-4461
Fax: (920) 459-1412
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 $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($33).
Total Amount
$33
General + Research + Ownership
Payments
1
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $33 |
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: 2004-01-21
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 |
|---|---|---|---|---|
| I20040121000419 | I | Diagnostic Radiology | WI | 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 | 1,526 | 23 | $0 |
| 77063 | Screening 3d breast mammography | 490 | 490 | $0 |
| 77067 | Screening mammography | 490 | 490 | $0 |
| 71045 | X-ray of chest, 1 view | 321 | 314 | $0 |
| 71046 | X-ray of chest, 2 views | 135 | 135 | $0 |
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 71250 | CT scan chest | 24 | 23 |
| DIAGNOSTIC RADIOLOGY | WI | 73562 | X-ray of knee, 3 views | 23 | 18 |
| DIAGNOSTIC RADIOLOGY | WI | 73630 | X-ray of foot, minimum of 3 views | 49 | 45 |
| DIAGNOSTIC RADIOLOGY | WI | 74177 | CT scan of abdomen and pelvis with contrast | 79 | 78 |
| DIAGNOSTIC RADIOLOGY | WI | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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