DR. JERRY D PETERIE (MD) – Infectious Disease Physician, NPI 1023014305

DR. JERRY D PETERIE (MD) is a healthcare provider. based in Wichita, Kansas. specializing in Infectious Disease Physician. They hold the professional credentials MD. They hold a License No. 0416578 (KS). The NPI Number for DR. JERRY D PETERIE (MD) is 1023014305

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY D PETERIE (MD)
NPI
1023014305
Phone
(316) 264-3505
Address
1100 N SAINT FRANCIS ST
Enumeration Date
22 June 2005
Last Update Date
3 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3162643505
Graduation Year
1975 (51 years ago)
PAC ID
1557351848
Group Practice PAC ID
0547169245
Professional Enrollment ID
I20040518000181

Contacts

Secure Messaging
medicalrecords@idckansas.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. JERRY D PETERIE (MD)

  • 1100, North Saint Francis Street, Wichita, Sedgwick County, Kansas, 67214, United States

    STE 130

    WICHITA, KS 672142865

    Phone: (316) 264-3505

    Fax: (316) 264-0908

    Type: Mailing

  • 2100 N Waldron St Ste 5

    Hutchinson, KS 675021176

    Phone: (620) 728-1498

    Fax: (620) 728-1838

    Type: Location

  • 310 S HILLSIDE ST

    WICHITA, KS 672112129

    Phone: (316) 264-3505

    Fax: (316) 264-0908

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Insmed, Inc. ($110).

Total Amount

$155

General + Research + Ownership

Payments

10

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
J0878Injection, daptomycin, 1 mg82,69832$0
J1556Injection, immune globulin (bivigam), 500 mg7,04047$0
J0696Injection, ceftriaxone sodium, per 250 mg73222$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less512151$0
J1335Injection, ertapenem sodium, 500 mg30545$0
View full utilization report →

Insurance plans in this area (ZIP 67214)

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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: 0547169245View full group profile
NameSpecialtyState
Nurse PractitionerKS
Infectious Disease, Internal MedicineTX
Nurse PractitionerKS
Physician AssistantKS
Internal Medicine, Infectious DiseaseKS
Physician AssistantKS
Internal Medicine, Infectious DiseaseTX
Physician AssistantKS
Nurse PractitionerKS
Physician AssistantKS

Reviews

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Frequently asked questions

What number should I use to identify DR. JERRY D PETERIE (MD) for billing?
Administrative and clinical systems typically use NPI 1023014305 for DR. JERRY D PETERIE (MD).
Does the public listing show DR. JERRY D PETERIE (MD) as active?
DR. JERRY D PETERIE (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. JERRY D PETERIE (MD) provide?
DR. JERRY D PETERIE (MD)'s profile centers on Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JERRY D PETERIE (MD)?
DR. JERRY D PETERIE (MD) is associated with Wichita, Kansas in the same public data insurers reference.
Can I export DR. JERRY D PETERIE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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