JOHN DALE PETERSON (DO) – Critical Care Medicine (Anesthesiology) Physician, NPI 1023239753
Critical Care Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
424 ANESTHESIOLOGY in KS
Provider Addresses for JOHN DALE PETERSON (DO)
929 N SAINT FRANCIS ST
WICHITA, KS 672143821
Phone: (800) 374-5326
Fax: (800) 374-7656
Type: Location
PO BOX 356
WICHITA, KS 672010356
Phone: (844) 468-9498
Fax: (855) 630-1302
Type: Mailing
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 $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($108).
Total Amount
$108
General + Research + Ownership
Payments
1
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $108 |
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: 2009-07-22
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 |
|---|---|---|---|---|
| I20090722000062 | I | Anesthesiology | KS | 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 |
|---|---|---|---|---|
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 69 | 69 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 36 | 36 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 28 | 28 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 14 | 14 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 67214)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | KS | |
| Anesthesiology, Critical Care (Intensivists) | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| P S Y C H I A T R Y | OH | |
| - | KS | |
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| - | KS | |
| Critical Care (Intensivists), Neurology | AZ |
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