DR. ROBIN R. PETERSON (PSY.D) – Psychologist, NPI 1124392477
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
192 CLINICAL PSYCHOLOGIST in IA
Provider Addresses for DR. ROBIN R. PETERSON (PSY.D)
865 LINCOLN RD STE L10
BETTENDORF, IA 527224159
Phone: (563) 355-9200
Fax: (563) 355-3419
Type: Mailing
4455 E 56TH ST
DAVENPORT, IA 528072995
Phone: (563) 355-2577
Fax: (563) 355-4015
Type: Location
1035 LINCOLN RD
STE 202
BETTENDORF, IA 527224149
Phone: (563) 355-4879
Fax: (563) 355-4879
Type: Location
1035 LINCOLN RD STE 202
BETTENDORF, IA 527224149
Phone: (563) 355-4879
Fax: (563) 355-4879
Type: Mailing
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: 2012-05-03
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 |
|---|---|---|---|---|
| I20120503000595 | I | Clinical Psychologist | IA | 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 |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 140 | 11 | $0 |
Insurance plans in this area (ZIP 52722)
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