DARRYL L PETERSON (PA-C) – Physician Assistant, NPI 1760454425

DARRYL L PETERSON (PA-C) is a healthcare provider. based in Junction city, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 15-01662 (KS). The NPI Number for DARRYL L PETERSON (PA-C) is 1760454425

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DARRYL L PETERSON (PA-C)
NPI
1760454425
Phone
(857) 762-2585
Address
1110 SAINT MARYS RD
Enumeration Date
6 February 2006
Last Update Date
31 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7857622585
Graduation Year
2009 (17 years ago)
PAC ID
8628091956
Group Practice PAC ID
9032587472
Professional Enrollment ID
I20230523000895
Address ID
KS664414139JU1102XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for DARRYL L PETERSON (PA-C)

  • 1110 SAINT MARYS RD

    JUNCTION CITY, KS 664414176

    Phone: (857) 762-2585

    Fax: (785) 210-3438

    Type: Mailing

  • Irwin Army Community Hospital, 600, Caisson Hill Road, Geary County, Kansas, 66442, United States of America

    FT RILEY, KS 664427037

    Phone: (785) 239-7151

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-29

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230523000895IPhysician AssistantKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66441)

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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: 9032587472View full group profile
NameSpecialtyState
Emergency MedicineKS
Internal MedicineKS
Emergency Medicine, Family PracticeKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS
General SurgeryWV
O B S T E T R I C S/ G Y N E C O L O G YKS
H O S P I T A L I S TKS
Family PracticeKS
Physician AssistantKS

Reviews

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Frequently asked questions

What federal number belongs to DARRYL L PETERSON (PA-C)?
The federal identifier for DARRYL L PETERSON (PA-C) is NPI 1760454425.
Does this profile mean DARRYL L PETERSON (PA-C) is currently active?
Yes — DARRYL L PETERSON (PA-C) appears active in the national provider directory.
What field does DARRYL L PETERSON (PA-C) work in?
You can think of DARRYL L PETERSON (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for DARRYL L PETERSON (PA-C)?
We surface Junction City, Kansas for DARRYL L PETERSON (PA-C) based on available NPPES addresses.
What if Junction City, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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