DR. DAVID O. PETERSON (D.O.) – Internal Medicine Physician, NPI 1962532465

DR. DAVID O. PETERSON (D.O.) is a healthcare provider. based in Livonia, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 006401 (MI). The NPI Number for DR. DAVID O. PETERSON (D.O.) is 1962532465

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID O. PETERSON (D.O.)
NPI
1962532465
Phone
(734) 793-6140
Address
36123 SCHOOLCRAFT RD
Enumeration Date
6 March 2007
Last Update Date
17 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102205222
Graduation Year
1971 (55 years ago)
PAC ID
2264686401
Group Practice PAC ID
6709891286
Professional Enrollment ID
I20130215000530
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. DAVID O. PETERSON (D.O.)

  • 36123 SCHOOLCRAFT RD

    LIVONIA, MI 481501216

    Phone: (734) 793-6140

    Fax: (734) 402-0254

    Type: Mailing

  • 1840 WEALTHY ST SE

    GRAND RAPIDS, MI 495062921

    Phone: (734) 464-0887

    Fax: (734) 402-0254

    Type: Location

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.

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

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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 48150)

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Provider's Procedures

DR. DAVID O. PETERSON (D.O.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI11042Removal of skin and tissue first 20 sq cm or less1111

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: 6709891286View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. DAVID O. PETERSON (D.O.) in the U.S.?
In the U.S., DR. DAVID O. PETERSON (D.O.) is identified by NPI 1962532465.
Should I treat DR. DAVID O. PETERSON (D.O.) as an active provider?
Patients and plans typically see DR. DAVID O. PETERSON (D.O.) as active in the national extract.
What type of care does DR. DAVID O. PETERSON (D.O.) provide?
DR. DAVID O. PETERSON (D.O.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DAVID O. PETERSON (D.O.) in Livonia, Michigan?
For routing, start with Livonia, Michigan for DR. DAVID O. PETERSON (D.O.), then verify phone and hours locally.
Why is information missing for DR. DAVID O. PETERSON (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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