ANDREW R. PETERSON (M.D.) – Pediatrics Physician, NPI 1528023504
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 PEDIATRIC MEDICINE in IA
Provider Addresses for ANDREW R. PETERSON (M.D.)
2701 Prairie Meadow Dr
Iowa City, IA 522428001
Phone: (319) 384-7070
Fax: (319) 356-4705
Type: Location
105 E 9th St
Coralville, IA 522412209
Phone: (319) 467-2000
Fax: (319) 467-2915
Type: Location
701 W Forevergreen Rd
North Liberty, IA 523179848
Phone: (319) 356-2223
Fax: (319) 353-6745
Type: Location
University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States
IOWA CITY, IA 522421007
Phone: (319) 353-8392
Fax: (319) 384-6295
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: DJO, LLC ($160).
Total Amount
$160
General + Research + Ownership
Payments
2
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DJO, LLC | $160 |
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: 2010-10-07
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 |
|---|---|---|---|---|
| I20101007000007 | I | Pediatric Medicine | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 62 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 18 | $0 |
Insurance plans in this area (ZIP 52242)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PEDIATRIC MEDICINE | IA | 20610 | Aspiration and/or injection of large joint or joint capsule | 34 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice, Hospitalist | IA | |
| Orthopedic Surgery | IA | |
| N E U R O L O G Y | IA | |
| Family Practice | IA | |
| Internal Medicine | IA | |
| Physician Assistant | IA | |
| Internal Medicine, Nephrology | IA | |
| Orthopedic Surgery | WI | |
| Physical Medicine And Rehabilitation | IA |
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.